ESAVI FHIR Implementation Guide (IG), published by ESAVI -. This guide is not an authorized publication; it is the continuous build for version 0.1.45 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/PanAmericanHealthOrganization/ESAVI-IG-FHIR-EN/ and changes regularly. See the Directory of published versions

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• Detailed Descriptions
• Mappings
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Resource Profile: ESAVI Questionnaire Response

Profile with the minimum elements to consider to generate the response to the PAHO ESAVI questionnaire

Usage:

• Examples for this Resource Profile: QuestionnaireResponse/ejDosNuevo, QuestionnaireResponse/ejTresNuevo and QuestionnaireResponse/ejUnoNuevo

Formal Views of Profile Content

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

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

This structure is derived from QuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers
identifier	S	1..1	Identifier	Unique identifier for this response set
system		0..1	uri	Namespace of the identification value. http://ops.org/esavi/CodIsoPaís or http://ops.org/esavi-CodPais/CodOrg or http://ops.org/esavi- CodPais/CodPais-CodOrg
value	S	1..1	string	Value of the unique identifier. Case Number in UUID
questionnaire	S	1..1	canonical(Questionnaire)	Questionnaire resource to which the answers refer Required Pattern: https://paho.org/fhir/esavi/Questionnaire/CuestionarioESAVI
status	S	1..1	code	State in which the response is found. Binding: QuestionnaireResponseStatus (required): In-progress will be used | completed
authored	S	1..1	dateTime	File filling date or Notification date or National Repository date
item	S	1..*	BackboneElement	Groups, subgroups and questions to answer based on the Questionnaire
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Unique identifier for this response set
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Namespace of the identification value. http://ops.org/esavi/CodIsoPaís or http://ops.org/esavi-CodPais/CodOrg or http://ops.org/esavi- CodPais/CodPais-CodOrg Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Value of the unique identifier. Case Number in UUID Example General: 123456
questionnaire	SΣ	1..1	canonical(Questionnaire)	Questionnaire resource to which the answers refer Required Pattern: https://paho.org/fhir/esavi/Questionnaire/CuestionarioESAVI
status	?!SΣ	1..1	code	State in which the response is found. Binding: QuestionnaireResponseStatus (required): In-progress will be used | completed
authored	SΣ	1..1	dateTime	File filling date or Notification date or National Repository date
item	SC	1..*	BackboneElement	Groups, subgroups and questions to answer based on the Questionnaire qrs-1: Nested item can't be beneath both item and answer
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
QuestionnaireResponse.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status 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()

Name	Flags	Card.	Type	Description & Constraints
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
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Unique identifier for this response set
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Namespace of the identification value. http://ops.org/esavi/CodIsoPaís or http://ops.org/esavi-CodPais/CodOrg or http://ops.org/esavi- CodPais/CodPais-CodOrg Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Value of the unique identifier. Case Number in UUID Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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(Questionnaire)	Questionnaire resource to which the answers refer Required Pattern: https://paho.org/fhir/esavi/Questionnaire/CuestionarioESAVI
status	?!SΣ	1..1	code	State in which the response is found. Binding: QuestionnaireResponseStatus (required): In-progress will be used | completed
subject	Σ	0..1	Reference(Resource)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	SΣ	1..1	dateTime	File filling date or Notification date or National Repository date
author	Σ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
item	SC	1..*	BackboneElement	Groups, subgroups and questions to answer based on the Questionnaire qrs-1: Nested item can't be beneath both item and answer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text		0..1	string	Name for group or question text
answer		0..*	BackboneElement	The response(s) to the question
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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)
item		0..*	See item (QuestionnaireResponse)	Nested groups and questions
item		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.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
QuestionnaireResponse.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status 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()

This structure is derived from QuestionnaireResponse

Summary

Mandatory: 5 elements
Must-Support: 6 elements

Differential View

This structure is derived from QuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers
identifier	S	1..1	Identifier	Unique identifier for this response set
system		0..1	uri	Namespace of the identification value. http://ops.org/esavi/CodIsoPaís or http://ops.org/esavi-CodPais/CodOrg or http://ops.org/esavi- CodPais/CodPais-CodOrg
value	S	1..1	string	Value of the unique identifier. Case Number in UUID
questionnaire	S	1..1	canonical(Questionnaire)	Questionnaire resource to which the answers refer Required Pattern: https://paho.org/fhir/esavi/Questionnaire/CuestionarioESAVI
status	S	1..1	code	State in which the response is found. Binding: QuestionnaireResponseStatus (required): In-progress will be used | completed
authored	S	1..1	dateTime	File filling date or Notification date or National Repository date
item	S	1..*	BackboneElement	Groups, subgroups and questions to answer based on the Questionnaire
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Unique identifier for this response set
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Namespace of the identification value. http://ops.org/esavi/CodIsoPaís or http://ops.org/esavi-CodPais/CodOrg or http://ops.org/esavi- CodPais/CodPais-CodOrg Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Value of the unique identifier. Case Number in UUID Example General: 123456
questionnaire	SΣ	1..1	canonical(Questionnaire)	Questionnaire resource to which the answers refer Required Pattern: https://paho.org/fhir/esavi/Questionnaire/CuestionarioESAVI
status	?!SΣ	1..1	code	State in which the response is found. Binding: QuestionnaireResponseStatus (required): In-progress will be used | completed
authored	SΣ	1..1	dateTime	File filling date or Notification date or National Repository date
item	SC	1..*	BackboneElement	Groups, subgroups and questions to answer based on the Questionnaire qrs-1: Nested item can't be beneath both item and answer
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
QuestionnaireResponse.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status 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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Unique identifier for this response set
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Namespace of the identification value. http://ops.org/esavi/CodIsoPaís or http://ops.org/esavi-CodPais/CodOrg or http://ops.org/esavi- CodPais/CodPais-CodOrg Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Value of the unique identifier. Case Number in UUID Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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(Questionnaire)	Questionnaire resource to which the answers refer Required Pattern: https://paho.org/fhir/esavi/Questionnaire/CuestionarioESAVI
status	?!SΣ	1..1	code	State in which the response is found. Binding: QuestionnaireResponseStatus (required): In-progress will be used | completed
subject	Σ	0..1	Reference(Resource)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	SΣ	1..1	dateTime	File filling date or Notification date or National Repository date
author	Σ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
item	SC	1..*	BackboneElement	Groups, subgroups and questions to answer based on the Questionnaire qrs-1: Nested item can't be beneath both item and answer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text		0..1	string	Name for group or question text
answer		0..*	BackboneElement	The response(s) to the question
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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)
item		0..*	See item (QuestionnaireResponse)	Nested groups and questions
item		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.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
QuestionnaireResponse.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status 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()

This structure is derived from QuestionnaireResponse

Summary

Mandatory: 5 elements
Must-Support: 6 elements

Other representations of profile: CSV, Excel, Schematron