Smart Health Checks
0.4.0 - ci-build

Smart Health Checks, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/aehrc/smart-forms-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: Smart Health Checks Questionnaire Response

Official URL: https://smartforms.csiro.au/ig/StructureDefinition/SHCQuestionnaireResponse | Version: 0.4.0
Draft as of 2025-12-18 | Computable Name: SmartHealthChecksQuestionnaireResponse
Copyright/Legal: Copyright © 2022+ Australian Government Department of Health and Aged Care - All rights reserved. This content is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. See https://creativecommons.org/licenses/by-sa/4.0/.

This profile sets the minimum expectations for a QuestionnaireResponse resource to record, search and save form information when used within Smart Health Checks.

Usages:

- CapabilityStatements using this Profile: SHC App and SHC Host FHIR Server
- 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 | C | 0..* | SDCQuestionnaireResponse | Standard Questionnaire Response Constraints: sdcqr-1, sdcqr-2, sdcqr-3
id | SO Σ | 1..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | SO | 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
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
Slices for extension |  |  |  | Content/Rules for all slices
extension:adheresTo |  | 0..* | (Complex) | Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:triggeredBy |  | 0..1 | (Complex) | Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:signature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension:completionMode |  | 0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
extension:source |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source"
value[x] |  | 1..1 | Reference(Device | Organization) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Unique id for this set of answers
questionnaire | SO Σ | 1..1 | canonical(SDC Base Questionnaire) | Form being answered
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
Slices for extension |  |  |  | Content/Rules for all slices
extension:questionnaireDisplay | SO | 0..1 | string | Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
status | ?!SO Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
subject | SO Σ | 1..1 | Reference(Patient) | The subject of the questions
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
encounter | SO Σ | 0..1 | Reference(Encounter) | Encounter created as part of
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
authored | SO Σ | 1..1 | dateTime | Date the answers were gathered
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
author | SO Σ | 1..1 | Reference(Practitioner) | Person who received and recorded the answers
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
item | SO C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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 | SO | 1..1 | string | Pointer to specific item from Questionnaire
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
text | SO | 0..1 | string | Name for group or question text
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
answer | SO | 0..* | BackboneElement | The response(s) to the question
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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:itemWeight |  | 0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value[x] | SO | 0..1 |  | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
valueBoolean |  |  | boolean |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity |
valueReference |  |  | Reference(Resource) |
item | S | 0..* | See item (QuestionnaireResponse) | Nested groups and questions
item | SO | 0..* | See item (QuestionnaireResponse) | Nested questionnaire response items
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
Documentation for this format

#### Terminology Bindings

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

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer | `(answer.exists() and item.exists()).not()`
qrs-2 | error | QuestionnaireResponse.item | Repeated answers are combined in the answers array of a single item | `repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`
sdcqr-1 | best practice | QuestionnaireResponse | Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. | `subject.exists()`
sdcqr-2 | best practice | QuestionnaireResponse | When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. | `(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`
sdcqr-3 | error | QuestionnaireResponse | Can either have source or source extension, but not both | `source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1`

This structure is derived from SDCQuestionnaireResponse

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | SDCQuestionnaireResponse | Standard Questionnaire Response
id | SO | 1..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
text | SO | 0..1 | Narrative | Text summary of the resource, for human interpretation
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
questionnaire | O | 1..1 | canonical(SDC Base Questionnaire) | Form being answered
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
Slices for extension |  |  |  | Content/Rules for all slices
extension:questionnaireDisplay | O | 0..1 | DisplayName(5.3.0-ballot-tc1) | Display name for canonical reference
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
status | O | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
subject | O | 1..1 | Reference(Patient) | The subject of the questions
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
encounter | SO | 0..1 | Reference(Encounter) | Encounter created as part of
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
authored | O | 1..1 | dateTime | Date the answers were gathered
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
author | O | 1..1 | Reference(Practitioner) | Person who received and recorded the answers
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
item | O | 0..* | BackboneElement | Groups and questions
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
linkId | O | 1..1 | string | Pointer to specific item from Questionnaire
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
text | O | 0..1 | string | Name for group or question text
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
answer | O | 0..* | BackboneElement | The response(s) to the question
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
value[x] | O | 0..1 | boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource) | Single-valued answer to the question
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
item | O | 0..* |  | Nested questionnaire response items
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse | C | 0..* | SDCQuestionnaireResponse | Standard Questionnaire Response Constraints: sdcqr-1, sdcqr-2, sdcqr-3
id | SO Σ | 1..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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 | SO | 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
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:adheresTo |  | 0..* | (Complex) | Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:triggeredBy |  | 0..1 | (Complex) | Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:signature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension:completionMode |  | 0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
extension:source |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source"
value[x] |  | 1..1 | Reference(Device | Organization) | Value of extension
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 | SO Σ | 1..1 | canonical(SDC Base Questionnaire) | Form being answered
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:questionnaireDisplay | SO | 0..1 | string | Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
value |  | 0..1 | string | Primitive value for canonical
status | ?!SO Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
subject | SO Σ | 1..1 | Reference(Patient) | The subject of the questions
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
encounter | SO Σ | 0..1 | Reference(Encounter) | Encounter created as part of
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
authored | SO Σ | 1..1 | dateTime | Date the answers were gathered
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
author | SO Σ | 1..1 | Reference(Practitioner) | Person who received and recorded the answers
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
source | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions
item | SO C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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 | SO | 1..1 | string | Pointer to specific item from Questionnaire
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
definition |  | 0..1 | uri | ElementDefinition - details for the item
text | SO | 0..1 | string | Name for group or question text
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
answer | SO | 0..* | BackboneElement | The response(s) to the question
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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:itemWeight |  | 0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value[x] | SO | 0..1 |  | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
valueBoolean |  |  | boolean |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity |
valueReference |  |  | Reference(Resource) |
item | S | 0..* | See item (QuestionnaireResponse) | Nested groups and questions
item | SO | 0..* | See item (QuestionnaireResponse) | Nested questionnaire response items
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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.​item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer | `(answer.exists() and item.exists()).not()`
qrs-2 | error | QuestionnaireResponse.item | Repeated answers are combined in the answers array of a single item | `repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`
sdcqr-1 | best practice | QuestionnaireResponse | Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. | `subject.exists()`
sdcqr-2 | best practice | QuestionnaireResponse | When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. | `(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`
sdcqr-3 | error | QuestionnaireResponse | Can either have source or source extension, but not both | `source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1`

This structure is derived from SDCQuestionnaireResponse

Summary

Mandatory: 3 elements
Must-Support: 3 elements

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse | C | 0..* | SDCQuestionnaireResponse | Standard Questionnaire Response Constraints: sdcqr-1, sdcqr-2, sdcqr-3
id | SO Σ | 1..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | SO | 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
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
Slices for extension |  |  |  | Content/Rules for all slices
extension:adheresTo |  | 0..* | (Complex) | Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:triggeredBy |  | 0..1 | (Complex) | Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:signature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension:completionMode |  | 0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
extension:source |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source"
value[x] |  | 1..1 | Reference(Device | Organization) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Unique id for this set of answers
questionnaire | SO Σ | 1..1 | canonical(SDC Base Questionnaire) | Form being answered
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
Slices for extension |  |  |  | Content/Rules for all slices
extension:questionnaireDisplay | SO | 0..1 | string | Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
status | ?!SO Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
subject | SO Σ | 1..1 | Reference(Patient) | The subject of the questions
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
encounter | SO Σ | 0..1 | Reference(Encounter) | Encounter created as part of
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
authored | SO Σ | 1..1 | dateTime | Date the answers were gathered
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
author | SO Σ | 1..1 | Reference(Practitioner) | Person who received and recorded the answers
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
item | SO C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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 | SO | 1..1 | string | Pointer to specific item from Questionnaire
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
text | SO | 0..1 | string | Name for group or question text
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
answer | SO | 0..* | BackboneElement | The response(s) to the question
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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:itemWeight |  | 0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value[x] | SO | 0..1 |  | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
valueBoolean |  |  | boolean |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity |
valueReference |  |  | Reference(Resource) |
item | S | 0..* | See item (QuestionnaireResponse) | Nested groups and questions
item | SO | 0..* | See item (QuestionnaireResponse) | Nested questionnaire response items
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
Documentation for this format

#### Terminology Bindings

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

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer | `(answer.exists() and item.exists()).not()`
qrs-2 | error | QuestionnaireResponse.item | Repeated answers are combined in the answers array of a single item | `repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`
sdcqr-1 | best practice | QuestionnaireResponse | Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. | `subject.exists()`
sdcqr-2 | best practice | QuestionnaireResponse | When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. | `(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`
sdcqr-3 | error | QuestionnaireResponse | Can either have source or source extension, but not both | `source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1`

Differential View

This structure is derived from SDCQuestionnaireResponse

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | SDCQuestionnaireResponse | Standard Questionnaire Response
id | SO | 1..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
text | SO | 0..1 | Narrative | Text summary of the resource, for human interpretation
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
questionnaire | O | 1..1 | canonical(SDC Base Questionnaire) | Form being answered
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
Slices for extension |  |  |  | Content/Rules for all slices
extension:questionnaireDisplay | O | 0..1 | DisplayName(5.3.0-ballot-tc1) | Display name for canonical reference
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
status | O | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
subject | O | 1..1 | Reference(Patient) | The subject of the questions
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
encounter | SO | 0..1 | Reference(Encounter) | Encounter created as part of
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
authored | O | 1..1 | dateTime | Date the answers were gathered
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
author | O | 1..1 | Reference(Practitioner) | Person who received and recorded the answers
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
item | O | 0..* | BackboneElement | Groups and questions
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
linkId | O | 1..1 | string | Pointer to specific item from Questionnaire
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
text | O | 0..1 | string | Name for group or question text
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
answer | O | 0..* | BackboneElement | The response(s) to the question
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
value[x] | O | 0..1 | boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource) | Single-valued answer to the question
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
item | O | 0..* |  | Nested questionnaire response items
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse | C | 0..* | SDCQuestionnaireResponse | Standard Questionnaire Response Constraints: sdcqr-1, sdcqr-2, sdcqr-3
id | SO Σ | 1..1 | id | Logical id of this artifact
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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 | SO | 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
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:adheresTo |  | 0..* | (Complex) | Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:triggeredBy |  | 0..1 | (Complex) | Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x] |  | 1..1 |  | Value of extension
valueCanonical |  |  | canonical(ActivityDefinition | PlanDefinition) |
valueReference |  |  | Reference(ActivityDefinition | PlanDefinition) |
valueUri |  |  | uri |
extension:signature |  | 0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension:completionMode |  | 0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
extension:source |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source"
value[x] |  | 1..1 | Reference(Device | Organization) | Value of extension
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 | SO Σ | 1..1 | canonical(SDC Base Questionnaire) | Form being answered
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:questionnaireDisplay | SO | 0..1 | string | Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
value |  | 0..1 | string | Primitive value for canonical
status | ?!SO Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
subject | SO Σ | 1..1 | Reference(Patient) | The subject of the questions
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
encounter | SO Σ | 0..1 | Reference(Encounter) | Encounter created as part of
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
authored | SO Σ | 1..1 | dateTime | Date the answers were gathered
Obligations | Actor
SHALL:populate & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
author | SO Σ | 1..1 | Reference(Practitioner) | Person who received and recorded the answers
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate & SHALL:process | SHC App
source | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions
item | SO C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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 | SO | 1..1 | string | Pointer to specific item from Questionnaire
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
definition |  | 0..1 | uri | ElementDefinition - details for the item
text | SO | 0..1 | string | Name for group or question text
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
answer | SO | 0..* | BackboneElement | The response(s) to the question
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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:itemWeight |  | 0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value[x] | SO | 0..1 |  | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
valueBoolean |  |  | boolean |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity |
valueReference |  |  | Reference(Resource) |
item | S | 0..* | See item (QuestionnaireResponse) | Nested groups and questions
item | SO | 0..* | See item (QuestionnaireResponse) | Nested questionnaire response items
Obligations | Actor
SHALL:populate-if-known & SHALL:persist | SHC Host FHIR Server
SHALL:populate-if-known & SHALL:process | SHC App
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.​item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer | `(answer.exists() and item.exists()).not()`
qrs-2 | error | QuestionnaireResponse.item | Repeated answers are combined in the answers array of a single item | `repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`
sdcqr-1 | best practice | QuestionnaireResponse | Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. | `subject.exists()`
sdcqr-2 | best practice | QuestionnaireResponse | When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. | `(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`
sdcqr-3 | error | QuestionnaireResponse | Can either have source or source extension, but not both | `source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1`

This structure is derived from SDCQuestionnaireResponse

Summary

Mandatory: 3 elements
Must-Support: 3 elements

Other representations of profile: CSV, Excel, Schematron