復健訓練評估量表實作指引(Rehabilitation Training Scale Implementation Guide)
0.1.0 - ci-build

復健訓練評估量表實作指引(Rehabilitation Training Scale Implementation Guide), published by Kimsber. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Kimsber/Rehab-IG/ and changes regularly. See the Directory of published versions

## Resource Profile: 評估問卷回覆-總體

Official URL: https://build.fhir.org/ig/Kimsber/Rehab-IG/StructureDefinition/SPACQuestionnaireResponse | Version: 0.1.0
Draft as of 2026-04-27 | Computable Name: SPACQuestionnaireResponse

問卷回覆的結構化定義，實際問回覆內容可參考Examples，可依據前者內容做為範本進行擴充

Usages:

- Derived from this Profile: ARAT上肢功能評估問卷回覆, 巴氏量表問卷回覆, FMAUE動作評估問卷回覆, FMAUE感覺評估問卷回覆... Show 8 more, IADL評估問卷回覆, MAS 量表問卷回覆, MIUL 問卷回覆profile, MMSE QuestionnaireResponse (scored), MRCQuestionnaireResponse, REACH 量表的問卷回覆profile, Trunk Control Test (TCT) 評估量表profile and WMFT上肢功能評估問卷回覆
- Examples for this Profile: QuestionnaireResponse/FMAUEMotorQuestionnaireResponseExample, QuestionnaireResponse/IDALQuestionnaireResponseInstance, QuestionnaireResponse/MIULQuestionnaireResponseExample, QuestionnaireResponse/MRCQuestionnaireResponseExample... Show 2 more, QuestionnaireResponse/REACHQuestionnaireResponseExample and QuestionnaireResponse/TCTQuestionnaireResponseInstance

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse | C | 0..* | SDCQuestionnaireResponse | SDC Questionnaire Response Constraints: sdcqr-1, sdcqr-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:signature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension:completionMode |  | 0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Unique id for this set of answers
questionnaire | S Σ | 1..1 | canonical(SDCBaseQuestionnaire) | 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(Resource) | The subject of the questions
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
authored | S Σ | 1..1 | dateTime | Date the answers were gathered
author | S Σ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Person who received and recorded the answers
source | S Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
item | S C | 1..* | BackboneElement | Groups and questions Constraints: qrs-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:itemMedia |  | 0..1 | Attachment | Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
extension:ItemSignature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
linkId | S | 1..1 | string | Pointer to specific item from Questionnaire
text | S | 0..1 | string | Name for group or question text
answer | S | 0..* | BackboneElement | The response(s) to the question
Slices for extension |  |  |  | Content/Rules for all slices
extension:itemAnswerMedia |  | 0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
extension:ordinalValue | S | 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 |
valueInteger |  |  | integer |
valueString |  |  | string |
valueCoding |  |  | Coding |
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 | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std.
QuestionnaireResponse.​item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer | `(answer.exists() and item.exists()).not()`
sdcqr-1 | best practice | QuestionnaireResponse | Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. | `subject.exists()`
sdcqr-2 | best practice | QuestionnaireResponse | When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. | `(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`

This structure is derived from SDCQuestionnaireResponse

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | SDCQuestionnaireResponse | SDC Questionnaire Response
subject |  | 1..1 | Reference(Resource) | The subject of the questions
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
source | S | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
item |  | 1..* | BackboneElement | Groups and questions
answer |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:ordinalValue | S | 0..1 | OrdinalValue(5.2.0) | Assigned Ordinal Value
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse | C | 0..* | SDCQuestionnaireResponse | SDC Questionnaire Response Constraints: sdcqr-1, sdcqr-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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 |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:signature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension:completionMode |  | 0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 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 | S Σ | 1..1 | canonical(SDCBaseQuestionnaire) | 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(Resource) | The subject of the questions
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..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
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 | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Person who received and recorded the answers
source | S Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..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 | 1..* | BackboneElement | Groups and questions Constraints: qrs-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:itemMedia |  | 0..1 | Attachment | Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
extension:ItemSignature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
linkId | S | 1..1 | string | Pointer to specific item from Questionnaire
definition |  | 0..1 | uri | ElementDefinition - details for the item
text | S | 0..1 | string | Name for group or question text
answer | S | 0..* | BackboneElement | The response(s) to the question
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:itemAnswerMedia |  | 0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
extension:ordinalValue | S | 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 |
valueInteger |  |  | integer |
valueString |  |  | string |
valueCoding |  |  | Coding |
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 | 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.​subject.type | Base | extensible | ResourceType | 📍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()`
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 SDCQuestionnaireResponse

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 4 elements

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse | C | 0..* | SDCQuestionnaireResponse | SDC Questionnaire Response Constraints: sdcqr-1, sdcqr-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:signature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension:completionMode |  | 0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Unique id for this set of answers
questionnaire | S Σ | 1..1 | canonical(SDCBaseQuestionnaire) | 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(Resource) | The subject of the questions
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
authored | S Σ | 1..1 | dateTime | Date the answers were gathered
author | S Σ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Person who received and recorded the answers
source | S Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
item | S C | 1..* | BackboneElement | Groups and questions Constraints: qrs-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:itemMedia |  | 0..1 | Attachment | Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
extension:ItemSignature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
linkId | S | 1..1 | string | Pointer to specific item from Questionnaire
text | S | 0..1 | string | Name for group or question text
answer | S | 0..* | BackboneElement | The response(s) to the question
Slices for extension |  |  |  | Content/Rules for all slices
extension:itemAnswerMedia |  | 0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
extension:ordinalValue | S | 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 |
valueInteger |  |  | integer |
valueString |  |  | string |
valueCoding |  |  | Coding |
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 | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std.
QuestionnaireResponse.​item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer | `(answer.exists() and item.exists()).not()`
sdcqr-1 | best practice | QuestionnaireResponse | Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. | `subject.exists()`
sdcqr-2 | best practice | QuestionnaireResponse | When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. | `(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`

Differential View

This structure is derived from SDCQuestionnaireResponse

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | SDCQuestionnaireResponse | SDC Questionnaire Response
subject |  | 1..1 | Reference(Resource) | The subject of the questions
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
source | S | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
item |  | 1..* | BackboneElement | Groups and questions
answer |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:ordinalValue | S | 0..1 | OrdinalValue(5.2.0) | Assigned Ordinal Value
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse | C | 0..* | SDCQuestionnaireResponse | SDC Questionnaire Response Constraints: sdcqr-1, sdcqr-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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 |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:signature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension:completionMode |  | 0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 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 | S Σ | 1..1 | canonical(SDCBaseQuestionnaire) | 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(Resource) | The subject of the questions
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..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
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 | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Person who received and recorded the answers
source | S Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..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 | 1..* | BackboneElement | Groups and questions Constraints: qrs-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:itemMedia |  | 0..1 | Attachment | Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
extension:ItemSignature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
linkId | S | 1..1 | string | Pointer to specific item from Questionnaire
definition |  | 0..1 | uri | ElementDefinition - details for the item
text | S | 0..1 | string | Name for group or question text
answer | S | 0..* | BackboneElement | The response(s) to the question
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:itemAnswerMedia |  | 0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
extension:ordinalValue | S | 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 |
valueInteger |  |  | integer |
valueString |  |  | string |
valueCoding |  |  | Coding |
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 | 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.​subject.type | Base | extensible | ResourceType | 📍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()`
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 SDCQuestionnaireResponse

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 4 elements

Other representations of profile: CSV, Excel, Schematron