Da Vinci - Documentation Templates and Rules
2.2.0 - STU 2.2

Da Vinci - Documentation Templates and Rules, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-dtr/ and changes regularly. See the Directory of published versions

## Resource Profile: DTR Questionnaire Response

Official URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaireresponse | Version: 2.2.0 | Highlight text changes?
Standards status: Trial-use Active as of 2023-08-21 | Maturity Level: 2 | Computable Name: DTRQuestionnaireResponse

Enforces DTR requirements on a completed or partially completed QuestionnaireResponse, including allowing the response to be linked to the relevant order, coverage, etc. and enforcing constraints applicable to the DTR context.

Usages:

- Derived from this Profile: DTR Questionnaire Response for adaptive form
- Use this Profile: DTR Questionnaire Package Bundle, DTR Questionnaire Response Bundle, DTR Next Question Input Parameters and DTR Next Question Output Parameters
- Examples for this Profile: QuestionnaireResponse/home-o2-questionnaireresponse
- CapabilityStatements using this Profile: Light DTR EHR, Light DTR EHR, SMART on FHIR DTR Client, Light DTR EHR... Show 2 more, Light DTR EHR and SMART on FHIR DTR Client

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse | C | 0..* | SDCQuestionnaireResponse(4.0.0) | Standard Questionnaire Response Constraints: sdcqr-1, sdcqr-2, sdcqr-3
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:adheresTo |  | 0..* | (Complex) | Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:triggeredBy |  | 0..1 | (Complex) | Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:signature | S | 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.
extension:coverage | S | 1..* | Reference(CRD Coverage(2.2.1)) | Identifies the coverages associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
extension:context | S | 0..* | Reference(CRD Device Request(2.2.1) | CRD Medication Request(2.2.1) | CRD Nutrition Order(2.2.1) | CRD Service Request(2.2.1) | CRD Encounter(2.2.1) | CRD Base Appointment(2.2.1)) | Identifies the orders and/or other resources associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context
extension:coverage-information | S | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
extension:intendedUse | S | 1..* | CodeableConcept | Indicates how the EHR is to use the information with respect to the associated orders/records. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse Binding: CRDDocReason (2.2.1) (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Unique id for this set of answers
questionnaire | S Σ | 1..1 | canonical(SDC Base Questionnaire(4.0.0)) | 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
status | ?!S Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject | S Σ | 1..1 | Reference(CRD Patient(2.2.1)) | The subject of the questions
authored | S Σ | 1..1 | dateTime | Date the answers were gathered
author | S Σ | 0..1 | Reference(Device | CRD Patient(2.2.1) | US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile(1.2.0) | CRD Organization(2.2.1) | RelatedPerson) | Person who received and recorded the answers
item | S C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
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 | S | 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 | Name for group or question text
answer | S | 0..* | BackboneElement | The response(s) to the question
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:itemAnswerMedia | S | 0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
extension:itemWeight | S | 0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight
extension:origin | S | 1..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin
extension:containedReference | S | 0..1 | boolean | Contain the reference? URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference
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 |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity |
valueReference |  |  | Reference(Resource) |
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 | 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()`
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()`
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()`
sdcqr-3 | error | QuestionnaireResponse | Can either have source or source extension, but not both | `source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  |  | SDCQuestionnaireResponse(4.0.0) |
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:signature | S | 0..* | QRSignature(5.3.0-ballot-tc1) | A signature attesting to the content
extension:coverage | S | 1..* | Reference(CRD Coverage(2.2.1)) | Identifies the coverages associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
extension:context | S | 0..* | Reference(CRD Device Request(2.2.1) | CRD Medication Request(2.2.1) | CRD Nutrition Order(2.2.1) | CRD Service Request(2.2.1) | CRD Encounter(2.2.1) | CRD Base Appointment(2.2.1)) | Identifies the orders and/or other resources associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context
extension:coverage-information | S | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
extension:intendedUse | S | 1..* | CodeableConcept | Indicates how the EHR is to use the information with respect to the associated orders/records. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse Binding: CRDDocReason (2.2.1) (required)
basedOn |  | 0..0 |  | Request fulfilled by this QuestionnaireResponse
partOf |  | 0..0 |  | Part of this action
subject |  | 1..1 | Reference(CRD Patient(2.2.1)) | The subject of the questions
author |  | 0..1 | Reference(Device | CRD Patient(2.2.1) | US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile(1.2.0) | CRD Organization(2.2.1) | RelatedPerson) | Person who received and recorded the answers
item |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:ItemSignature | S | 0..* | QRSignature(5.3.0-ballot-tc1) | A signature attesting to the content
answer |  |  |  |
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:itemAnswerMedia | S | 0..1 | ItemAnswerMedia(4.0.0) | Answer Media to display
extension:itemWeight | S | 0..1 | ItemWeight(5.3.0-ballot-tc1) | Assigned Ordinal Value
extension:origin | S | 1..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin
extension:containedReference | S | 0..1 | boolean | Contain the reference? URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse | C | 0..* | SDCQuestionnaireResponse(4.0.0) | Standard Questionnaire Response Constraints: sdcqr-1, sdcqr-2, sdcqr-3
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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:adheresTo |  | 0..* | (Complex) | Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:triggeredBy |  | 0..1 | (Complex) | Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:signature | S | 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.
extension:coverage | S | 1..* | Reference(CRD Coverage(2.2.1)) | Identifies the coverages associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
extension:context | S | 0..* | Reference(CRD Device Request(2.2.1) | CRD Medication Request(2.2.1) | CRD Nutrition Order(2.2.1) | CRD Service Request(2.2.1) | CRD Encounter(2.2.1) | CRD Base Appointment(2.2.1)) | Identifies the orders and/or other resources associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context
extension:coverage-information | S | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
extension:intendedUse | S | 1..* | CodeableConcept | Indicates how the EHR is to use the information with respect to the associated orders/records. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse Binding: CRDDocReason (2.2.1) (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Unique id for this set of answers
questionnaire | S Σ | 1..1 | canonical(SDC Base Questionnaire(4.0.0)) | 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
value |  | 0..1 | string | Primitive value for canonical
status | ?!S Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject | S Σ | 1..1 | Reference(CRD Patient(2.2.1)) | The subject of the questions
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
authored | S Σ | 1..1 | dateTime | Date the answers were gathered
author | S Σ | 0..1 | Reference(Device | CRD Patient(2.2.1) | US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile(1.2.0) | CRD Organization(2.2.1) | RelatedPerson) | Person who received and recorded the answers
source | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:r5Source |  | 0..1 | (Complex) | Alternative reference (target type is wrong) URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/alternate-reference"
value[x] |  | 1..1 | Reference(Device | Organization) | Value of extension
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
item | S C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
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 | S | 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 | 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 |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:itemAnswerMedia | S | 0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
extension:itemWeight | S | 0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight
extension:origin | S | 1..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin
extension:containedReference | S | 0..1 | boolean | Contain the reference? URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference
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 |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity |
valueReference |  |  | Reference(Resource) |
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 | 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.​source.type | Base | extensible | ResourceType | 📍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()`
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()`
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()`
sdcqr-3 | error | QuestionnaireResponse | Can either have source or source extension, but not both | `source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1`

Summary

Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 10 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

- CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient|2.2.1)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0)
- HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole|1.2.0)
- CRD Organization (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-organization|2.2.1)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
- http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context|2.2.0
- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information|2.2.1
- http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse|2.2.0
- http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin|2.2.0
- http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference|2.2.0

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse | C | 0..* | SDCQuestionnaireResponse(4.0.0) | Standard Questionnaire Response Constraints: sdcqr-1, sdcqr-2, sdcqr-3
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:adheresTo |  | 0..* | (Complex) | Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:triggeredBy |  | 0..1 | (Complex) | Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:signature | S | 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.
extension:coverage | S | 1..* | Reference(CRD Coverage(2.2.1)) | Identifies the coverages associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
extension:context | S | 0..* | Reference(CRD Device Request(2.2.1) | CRD Medication Request(2.2.1) | CRD Nutrition Order(2.2.1) | CRD Service Request(2.2.1) | CRD Encounter(2.2.1) | CRD Base Appointment(2.2.1)) | Identifies the orders and/or other resources associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context
extension:coverage-information | S | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
extension:intendedUse | S | 1..* | CodeableConcept | Indicates how the EHR is to use the information with respect to the associated orders/records. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse Binding: CRDDocReason (2.2.1) (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Unique id for this set of answers
questionnaire | S Σ | 1..1 | canonical(SDC Base Questionnaire(4.0.0)) | 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
status | ?!S Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject | S Σ | 1..1 | Reference(CRD Patient(2.2.1)) | The subject of the questions
authored | S Σ | 1..1 | dateTime | Date the answers were gathered
author | S Σ | 0..1 | Reference(Device | CRD Patient(2.2.1) | US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile(1.2.0) | CRD Organization(2.2.1) | RelatedPerson) | Person who received and recorded the answers
item | S C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
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 | S | 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 | Name for group or question text
answer | S | 0..* | BackboneElement | The response(s) to the question
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:itemAnswerMedia | S | 0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
extension:itemWeight | S | 0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight
extension:origin | S | 1..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin
extension:containedReference | S | 0..1 | boolean | Contain the reference? URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference
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 |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity |
valueReference |  |  | Reference(Resource) |
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 | 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()`
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()`
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()`
sdcqr-3 | error | QuestionnaireResponse | Can either have source or source extension, but not both | `source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1`

Differential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  |  | SDCQuestionnaireResponse(4.0.0) |
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:signature | S | 0..* | QRSignature(5.3.0-ballot-tc1) | A signature attesting to the content
extension:coverage | S | 1..* | Reference(CRD Coverage(2.2.1)) | Identifies the coverages associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
extension:context | S | 0..* | Reference(CRD Device Request(2.2.1) | CRD Medication Request(2.2.1) | CRD Nutrition Order(2.2.1) | CRD Service Request(2.2.1) | CRD Encounter(2.2.1) | CRD Base Appointment(2.2.1)) | Identifies the orders and/or other resources associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context
extension:coverage-information | S | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
extension:intendedUse | S | 1..* | CodeableConcept | Indicates how the EHR is to use the information with respect to the associated orders/records. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse Binding: CRDDocReason (2.2.1) (required)
basedOn |  | 0..0 |  | Request fulfilled by this QuestionnaireResponse
partOf |  | 0..0 |  | Part of this action
subject |  | 1..1 | Reference(CRD Patient(2.2.1)) | The subject of the questions
author |  | 0..1 | Reference(Device | CRD Patient(2.2.1) | US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile(1.2.0) | CRD Organization(2.2.1) | RelatedPerson) | Person who received and recorded the answers
item |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:ItemSignature | S | 0..* | QRSignature(5.3.0-ballot-tc1) | A signature attesting to the content
answer |  |  |  |
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:itemAnswerMedia | S | 0..1 | ItemAnswerMedia(4.0.0) | Answer Media to display
extension:itemWeight | S | 0..1 | ItemWeight(5.3.0-ballot-tc1) | Assigned Ordinal Value
extension:origin | S | 1..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin
extension:containedReference | S | 0..1 | boolean | Contain the reference? URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference
Documentation for this format

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse | C | 0..* | SDCQuestionnaireResponse(4.0.0) | Standard Questionnaire Response Constraints: sdcqr-1, sdcqr-2, sdcqr-3
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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:adheresTo |  | 0..* | (Complex) | Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:triggeredBy |  | 0..1 | (Complex) | Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:signature | S | 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.
extension:coverage | S | 1..* | Reference(CRD Coverage(2.2.1)) | Identifies the coverages associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
extension:context | S | 0..* | Reference(CRD Device Request(2.2.1) | CRD Medication Request(2.2.1) | CRD Nutrition Order(2.2.1) | CRD Service Request(2.2.1) | CRD Encounter(2.2.1) | CRD Base Appointment(2.2.1)) | Identifies the orders and/or other resources associated with the specified QuestionnaireResponse. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context
extension:coverage-information | S | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
extension:intendedUse | S | 1..* | CodeableConcept | Indicates how the EHR is to use the information with respect to the associated orders/records. URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse Binding: CRDDocReason (2.2.1) (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Unique id for this set of answers
questionnaire | S Σ | 1..1 | canonical(SDC Base Questionnaire(4.0.0)) | 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
value |  | 0..1 | string | Primitive value for canonical
status | ?!S Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject | S Σ | 1..1 | Reference(CRD Patient(2.2.1)) | The subject of the questions
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
authored | S Σ | 1..1 | dateTime | Date the answers were gathered
author | S Σ | 0..1 | Reference(Device | CRD Patient(2.2.1) | US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile(1.2.0) | CRD Organization(2.2.1) | RelatedPerson) | Person who received and recorded the answers
source | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:r5Source |  | 0..1 | (Complex) | Alternative reference (target type is wrong) URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/alternate-reference"
value[x] |  | 1..1 | Reference(Device | Organization) | Value of extension
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
item | S C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
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 | S | 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 | 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 |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:itemAnswerMedia | S | 0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
extension:itemWeight | S | 0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight
extension:origin | S | 1..1 | (Complex) | Extension URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin
extension:containedReference | S | 0..1 | boolean | Contain the reference? URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference
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 |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity |
valueReference |  |  | Reference(Resource) |
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 | 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.​source.type | Base | extensible | ResourceType | 📍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()`
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()`
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()`
sdcqr-3 | error | QuestionnaireResponse | Can either have source or source extension, but not both | `source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1`

Summary

Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 10 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

- CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient|2.2.1)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0)
- HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole|1.2.0)
- CRD Organization (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-organization|2.2.1)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
- http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context|2.2.0
- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information|2.2.1
- http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse|2.2.0
- http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin|2.2.0
- http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference|2.2.0

Maturity: 2

Other representations of profile: CSV, Excel, Schematron