eHealth Infrastructure
3.4.1 - release Denmark flag

eHealth Infrastructure, published by Den telemedicinske infrastruktur (eHealth Infrastructure). This guide is not an authorized publication; it is the continuous build for version 3.4.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fut-infrastructure/implementation-guide/ and changes regularly. See the Directory of published versions

Resource Profile: ehealth-definedquestion

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-definedquestion Version: 3.4.1
Active as of 2025-03-14 Computable Name: ehealth-definedquestion

Introduction

The ehealth-definedquestion profile of StructureDefinition represents the concept of a DefinedQuestion. A DefinedQuestion is a standalone representation of a question and possibly its answer options that can be used in one or more Questionnaire resources. Although a Questionnaire can be constructed without being based on any DefinedQuestion, it is expected that a catalogue of DefinedQuestion will emerge over time and the particular DefinedQuestion will be reused in multiple Questionnaire.

The DefinedQuestion concept is based on ideas described in https://www.hl7.org/fhir/stu3/questionnaire.html#2.38.5.4. Whether a DefinedQuestion is referenced in a Questionnaire or not, it is the Questionnaire's own definition which takes precedence.

Scope and Usage

In the eHealth Infrastructure, a reference to a DefinedQuestion by url in a Questionnaire question is used to enable robust extraction in automated processing rule(s) of answer(s) to that question from corresponding QuestionnaireResponse. An answer in a QuestionnaireResponse is already unambiguously related to a question in a Questionnaire through the question's linkId. If the same question is used in another Questionnaire it will likely end up with a different linkId in that Questionnaire. By referencing a DefinedQuestion by its url in Questionnaire.item.definition, the same question can be referenced unambiguously in multiple Questionnaire.

Multiple DefinedQuestion with identical url can coexist as long as they have differing business versions in version. This way, different versions of the same question can have different answer options.

When using a DefinedQuestion in a Questionnaire, the Questionnaire.item.definition element must contain the url followed by a pipe and the business version thereby referencing a versioned DefinedQuestion.

An automated processing rule captured in a Library resource can, when extracting answer(s) to the question in a QuestionnaireResponse, choose to search for either the versioned reference or the version-less reference to a DefinedQuestion. The latter can be obtained by disregarding the pipe and business version in the rule logic.

The actual details of the DefinedQuestion's question and possible answers are described in the ElementDefinition found in either snapshot.element or differential.element.

Usage:

  • CapabilityStatements using this Resource Profile: patient and questionnaire
  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. StructureDefinition C 0..* StructureDefinition Structural Definition
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
sdf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
sdf-1: Element paths must be unique unless the structure is a constraint
sdf-15a: If the first element in a differential has no "." in the path and it's not a logical model, it has no type
sdf-4: If the structure is not abstract, then there SHALL be a baseDefinition
sdf-5: If the structure defines an extension then the structure must have context information
sdf-6: A structure must have either a differential, or a snapshot (or both)
sdf-9: In any snapshot or differential, no label, code or requirements on an element without a "." in the path (e.g. the first element)
sdf-11: If there's a type, its content must match the path name in the first element of a snapshot
sdf-14: All element definitions must have an id
sdf-15: The first element in a snapshot has no type unless model is a logical model.
sdf-16: All element definitions must have unique ids (snapshot)
sdf-17: All element definitions must have unique ids (diff)
sdf-18: Context Invariants can only be used for extensions
sdf-19: FHIR Specification models only use FHIR defined types
sdf-21: Default values can only be specified on specializations
sdf-22: FHIR Specification models never have default values
sdf-23: No slice name on root
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... url Σ 1..1 uri Canonical identifier for this structure definition, represented as a URI (globally unique)
ele-1: All FHIR elements must have a @value or children
... status ?!Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.


ele-1: All FHIR elements must have a @value or children
... kind Σ 1..1 code primitive-type | complex-type | resource | logical
Binding: StructureDefinitionKind (required): Defines the type of structure that a definition is describing.


ele-1: All FHIR elements must have a @value or children
... abstract Σ 1..1 boolean Whether the structure is abstract
ele-1: All FHIR elements must have a @value or children
... type ΣC 1..1 uri Type defined or constrained by this structure
Binding: FHIRDefinedType (extensible): Either a resource or a data type, including logical model types.


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
StructureDefinition.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
StructureDefinition.kindrequiredStructureDefinitionKind
http://hl7.org/fhir/ValueSet/structure-definition-kind|4.0.1
from the FHIR Standard
StructureDefinition.typeextensibleFHIRDefinedType
http://hl7.org/fhir/ValueSet/defined-types
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron