NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. 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/PROJ-PHILHEALTH-EA-NHDR/nhdr-fhir-ig-review-project-2/ and changes regularly. See the Directory of published versions

## Resource Profile: PH QuestionnaireResponse

Official URL: https://nhdr.gov.ph/fhir/StructureDefinition/PH-QuestionnaireResponse | Version: 0.1.0
Standards status: Draft | Computable Name: PH_QuestionnaireResponse
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

A structured set of questions and their answers.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

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 |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
status | ?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​status | Base | required | QuestionnaireResponseStatus | 📍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())`

This structure is derived from QuestionnaireResponse

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
lastUpdated |  | 0..1 | instant | When the resource was uploaded to the NHDR.
implicitRules |  | 0..0 |  | A set of rules under which this content was created
language |  | 0..0 |  | Language of the resource content
text |  | 0..0 |  | Text summary of the resource, for human interpretation
contained |  | 0..0 |  | Contained, inline Resources
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
identifier |  | 0..0 |  | Unique id for this set of answers
basedOn |  | 0..0 |  | Request fulfilled by this QuestionnaireResponse
partOf |  | 0..0 |  | Part of this action
questionnaire |  | 0..0 |  | Form being answered
subject |  | 0..0 |  | The subject of the questions
encounter |  | 0..0 |  | Encounter created as part of
authored |  | 0..0 |  | Date the answers were gathered
author |  | 0..0 |  | Person who received and recorded the answers
source |  | 0..0 |  | The person who answered the questions
item |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
definition |  | 0..0 |  | ElementDefinition - details for the item
text |  | 0..0 |  | Name for group or question text
answer |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
item |  | 0..0 |  | Nested groups and questions
item |  | 0..0 |  | Nested questionnaire response items
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource was uploaded to the NHDR.
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
status | ?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
item | C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1
linkId |  | 1..1 | string | Pointer to specific item from Questionnaire
answer |  | 0..* | BackboneElement | The response(s) to the question
value[x] |  | 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) |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
QuestionnaireResponse.​meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
QuestionnaireResponse.​status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std.
QuestionnaireResponse.​item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer | `(answer.exists() and item.exists()).not()`

This structure is derived from QuestionnaireResponse

Summary

Prohibited: 25 elements

Extensions

This structure refers to these extensions:

- https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
- https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
status | ?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​status | Base | required | QuestionnaireResponseStatus | 📍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())`

Differential View

This structure is derived from QuestionnaireResponse

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
lastUpdated |  | 0..1 | instant | When the resource was uploaded to the NHDR.
implicitRules |  | 0..0 |  | A set of rules under which this content was created
language |  | 0..0 |  | Language of the resource content
text |  | 0..0 |  | Text summary of the resource, for human interpretation
contained |  | 0..0 |  | Contained, inline Resources
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
identifier |  | 0..0 |  | Unique id for this set of answers
basedOn |  | 0..0 |  | Request fulfilled by this QuestionnaireResponse
partOf |  | 0..0 |  | Part of this action
questionnaire |  | 0..0 |  | Form being answered
subject |  | 0..0 |  | The subject of the questions
encounter |  | 0..0 |  | Encounter created as part of
authored |  | 0..0 |  | Date the answers were gathered
author |  | 0..0 |  | Person who received and recorded the answers
source |  | 0..0 |  | The person who answered the questions
item |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
definition |  | 0..0 |  | ElementDefinition - details for the item
text |  | 0..0 |  | Name for group or question text
answer |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
item |  | 0..0 |  | Nested groups and questions
item |  | 0..0 |  | Nested questionnaire response items
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource was uploaded to the NHDR.
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
status | ?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
item | C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1
linkId |  | 1..1 | string | Pointer to specific item from Questionnaire
answer |  | 0..* | BackboneElement | The response(s) to the question
value[x] |  | 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) |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
QuestionnaireResponse.​meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
QuestionnaireResponse.​status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std.
QuestionnaireResponse.​item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer | `(answer.exists() and item.exists()).not()`

This structure is derived from QuestionnaireResponse

Summary

Prohibited: 25 elements

Extensions

This structure refers to these extensions:

- https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
- https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated

Other representations of profile: CSV, Excel, Schematron