NHS North West Genomics, published by NHS North West Genomics. This guide is not an authorized publication; it is the continuous build for version 0.0.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nw-gmsa/nw-gmsa.github.com/ and changes regularly. See the Directory of published versions

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Resource Profile: QuestionnaireResponse

DRAFT Initial elaboration

Usages:

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

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
questionnaire	SΣ	1..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	SΣ	1..1	Reference(Resource)	The subject of the questions
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
QuestionnaireResponse.​status	Base	required	QuestionnaireResponseStatus	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from QuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers
questionnaire	S	1..1	canonical(Questionnaire)	Form being answered
subject	S	1..1	Reference(Resource)	The subject of the questions
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
encounter
identifier		0..1	HospitalProviderSpellIdentifier	Logical reference, when literal reference is not known
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
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	SΣ	1..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	SΣ	1..1	Reference(Resource)	The subject of the questions
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	HospitalProviderSpellIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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 Constraints: qrs-1
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	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.​subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
QuestionnaireResponse.​encounter.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
QuestionnaireResponse.​item.answer.value[x]	Base	example	Questionnaire Answer Codes	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from QuestionnaireResponse

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• NHS Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSNumber)
• Hospital Provider Spell Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
questionnaire	SΣ	1..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	SΣ	1..1	Reference(Resource)	The subject of the questions
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
QuestionnaireResponse.​status	Base	required	QuestionnaireResponseStatus	📍4.0.1	FHIR Std.

Constraints

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

Differential View

This structure is derived from QuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers
questionnaire	S	1..1	canonical(Questionnaire)	Form being answered
subject	S	1..1	Reference(Resource)	The subject of the questions
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
encounter
identifier		0..1	HospitalProviderSpellIdentifier	Logical reference, when literal reference is not known
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
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	SΣ	1..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	SΣ	1..1	Reference(Resource)	The subject of the questions
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	HospitalProviderSpellIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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 Constraints: qrs-1
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	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.​subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
QuestionnaireResponse.​encounter.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
QuestionnaireResponse.​item.answer.value[x]	Base	example	Questionnaire Answer Codes	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from QuestionnaireResponse

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• NHS Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSNumber)
• Hospital Provider Spell Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier)

Other representations of profile: CSV, Excel, Schematron