The US Core QuestionnaireResponse Profile sets minimum expectations for the Immunization Resource to record, search, and fetch immunizations associated with a patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile. In addition to the requirements set forth in US Core Immunization Profile this derived profile is designed to add requirements to the following elements:

• QuestionnaireResponse.extension:resource-pertainsToGoal (Must Support) to encourage linking a goal to the questionnaire response in hopes to facilitate and/or to encourage systems to be able to receive and understand a goal linkage if present.

Comments are welcome with respect to the pragmatic use of the “Must Support” rules defined on these elements.

Value sets pertinent to this profile are found on the MCC Questionnaire Response Library Value Set

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

This structure is derived from USCoreQuestionnaireResponseProfile

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	USCoreQuestionnaireResponseProfile	US Core Profile based on SDC QuestionnaireResponse
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
resource-pertainsToGoal	S	0..*	Reference(Goal)	The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources. URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
author		0..1	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | Device | US Core RelatedPerson Profile)	(USCDI) Person who received and recorded the answers
source		0..1	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core RelatedPerson Profile)	The person who answered the questions
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	USCoreQuestionnaireResponseProfile	US Core Profile based on SDC QuestionnaireResponse sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. sdcqr-2: 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.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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.
resource-pertainsToGoal	S	0..*	Reference(Goal)	The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources. URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Unique id for this set of answers
questionnaire	SΣ	1..1	canonical(SDCBaseQuestionnaire)	(USCDI) Form being answered
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
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 Core Patient Profile)	(USCDI) The subject of the questions
authored	SΣ	1..1	dateTime	(USCDI) Date the answers were gathered
author	SΣ	0..1	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | Device | US Core RelatedPerson Profile)	(USCDI) Person who received and recorded the answers
source	Σ	0..1	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core RelatedPerson Profile)	The person who answered the questions
item	SC	0..*	BackboneElement	(USCDI) Groups and questions qrs-1: Nested item can't be beneath both item and answer
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	(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
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		(USCDI) 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	URI
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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	C	0..*	USCoreQuestionnaireResponseProfile	US Core Profile based on SDC QuestionnaireResponse sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. sdcqr-2: 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.
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
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.
resource-pertainsToGoal	S	0..*	Reference(Goal)	The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources. URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
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
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
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 Core Patient Profile)	(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 Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | Device | US Core RelatedPerson Profile)	(USCDI) Person who received and recorded the answers
source	Σ	0..1	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core RelatedPerson Profile)	The person who answered the questions
item	SC	0..*	BackboneElement	(USCDI) Groups and questions qrs-1: Nested item can't be beneath both item and answer
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	(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
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		(USCDI) 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	URI
QuestionnaireResponse.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	USCoreQuestionnaireResponseProfile	US Core Profile based on SDC QuestionnaireResponse
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
resource-pertainsToGoal	S	0..*	Reference(Goal)	The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources. URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
author		0..1	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | Device | US Core RelatedPerson Profile)	(USCDI) Person who received and recorded the answers
source		0..1	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core RelatedPerson Profile)	The person who answered the questions
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	USCoreQuestionnaireResponseProfile	US Core Profile based on SDC QuestionnaireResponse sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. sdcqr-2: 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.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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.
resource-pertainsToGoal	S	0..*	Reference(Goal)	The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources. URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Unique id for this set of answers
questionnaire	SΣ	1..1	canonical(SDCBaseQuestionnaire)	(USCDI) Form being answered
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
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 Core Patient Profile)	(USCDI) The subject of the questions
authored	SΣ	1..1	dateTime	(USCDI) Date the answers were gathered
author	SΣ	0..1	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | Device | US Core RelatedPerson Profile)	(USCDI) Person who received and recorded the answers
source	Σ	0..1	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core RelatedPerson Profile)	The person who answered the questions
item	SC	0..*	BackboneElement	(USCDI) Groups and questions qrs-1: Nested item can't be beneath both item and answer
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	(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
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		(USCDI) 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	URI
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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	C	0..*	USCoreQuestionnaireResponseProfile	US Core Profile based on SDC QuestionnaireResponse sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. sdcqr-2: 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.
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
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.
resource-pertainsToGoal	S	0..*	Reference(Goal)	The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources. URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
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
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
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 Core Patient Profile)	(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 Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | Device | US Core RelatedPerson Profile)	(USCDI) Person who received and recorded the answers
source	Σ	0..1	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core RelatedPerson Profile)	The person who answered the questions
item	SC	0..*	BackboneElement	(USCDI) Groups and questions qrs-1: Nested item can't be beneath both item and answer
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	(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
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		(USCDI) 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	URI
QuestionnaireResponse.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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

Must-Support: 1 element

Structures

This structure refers to these other structures:

• US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal