ImplementationGuide for Malaysia Core (MY Core), published by Malaysia Healthcare Nexus (MHN). This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nhphong245/my-core-ig-r4/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• XML
• JSON

Resource Profile:

Official URL: http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core				Version: 0.0.1
Active as of 2024-03-13		Responsible: Malaysia Healthcare Nexus (MHN)	Realm:	Computable Name: QuestionnaireResponseMyCore

Usage:

• 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.

• 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
Slices for extension				Content/Rules for all slices
serviceProvider		0..1	Reference(Organization)	Extension to reference the custodian of this Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/service-provider-my-core
questionnaireReference		0..*	Reference(Questionnaire | QuestionnaireResponse)	Extension to create reference to Questionnaire's QuestionnaireResponse URL: http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core
subject		1..1	Reference(Patient)	The subject of the questions
Documentation for this format

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
Slices for extension				Content/Rules for all slices
serviceProvider		0..1	Reference(Organization)	Extension to reference the custodian of this Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/service-provider-my-core
questionnaireReference		0..*	Reference(Questionnaire | QuestionnaireResponse)	Extension to create reference to Questionnaire's QuestionnaireResponse URL: http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	Σ	1..1	Reference(Patient)	The subject of the questions
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 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()

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
serviceProvider		0..1	Reference(Organization)	Extension to reference the custodian of this Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/service-provider-my-core
questionnaireReference		0..*	Reference(Questionnaire | QuestionnaireResponse)	Extension to create reference to Questionnaire's QuestionnaireResponse URL: http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	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	Σ	0..1	canonical(Questionnaire)	Form being answered
status	?!Σ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	Σ	1..1	Reference(Patient)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	Σ	0..1	dateTime	Date the answers were gathered
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	C	0..*	BackboneElement	Groups and questions 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.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 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: 1 element

Extensions

This structure refers to these extensions:

• http://fhir.hie.moh.gov.my/StructureDefinition/service-provider-my-core
• http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core

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
Slices for extension				Content/Rules for all slices
serviceProvider		0..1	Reference(Organization)	Extension to reference the custodian of this Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/service-provider-my-core
questionnaireReference		0..*	Reference(Questionnaire | QuestionnaireResponse)	Extension to create reference to Questionnaire's QuestionnaireResponse URL: http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core
subject		1..1	Reference(Patient)	The subject of the questions
Documentation for this format

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
Slices for extension				Content/Rules for all slices
serviceProvider		0..1	Reference(Organization)	Extension to reference the custodian of this Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/service-provider-my-core
questionnaireReference		0..*	Reference(Questionnaire | QuestionnaireResponse)	Extension to create reference to Questionnaire's QuestionnaireResponse URL: http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	Σ	1..1	Reference(Patient)	The subject of the questions
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 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()

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
serviceProvider		0..1	Reference(Organization)	Extension to reference the custodian of this Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/service-provider-my-core
questionnaireReference		0..*	Reference(Questionnaire | QuestionnaireResponse)	Extension to create reference to Questionnaire's QuestionnaireResponse URL: http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	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	Σ	0..1	canonical(Questionnaire)	Form being answered
status	?!Σ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	Σ	1..1	Reference(Patient)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	Σ	0..1	dateTime	Date the answers were gathered
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	C	0..*	BackboneElement	Groups and questions 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.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 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: 1 element

Extensions

This structure refers to these extensions:

• http://fhir.hie.moh.gov.my/StructureDefinition/service-provider-my-core
• http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core

Other representations of profile: CSV, Excel, Schematron