SIL HIE Implementation Guide
0.1.0 - sil-hie-active

SIL HIE Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

Resource Profile: HIE QuestionnaireResponse

Official URL: https://nshr.dha.go.ke/fhir/StructureDefinition/hie-questionnaireresponse Version: 0.1.0
Active as of 2025-11-25 Computable Name: HIEQuestionnaireResponse

R4B QuestionnaireResponse profiled for HIE capture. Emphasizes linkage to Questionnaire, subject and encounter context, authorship, and structured item answers.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* QuestionnaireResponse A structured set of questions and their answers
Constraints: hie-qr-item-has-answer-or-children, hie-qr-answer-has-value-or-children
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Unique id for this set of answers
.... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 1..1 HIECodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... assigner SΣ 0..1 HIEReference(HIE Organization) Organization that issued id (may be just text)
... partOf Σ 0..* HIEReference(HIE Observation | Procedure) Part of this action
... questionnaire SΣ 1..1 canonical(Questionnaire) Form being answered
... status ?!SΣ 1..1 code in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 1..1 HIEReference(HIE Patient) The subject of the questions
... encounter SΣ 0..1 HIEReference(HIE Encounter) Encounter created as part of
... authored SΣ 1..1 dateTime Date the answers were gathered
... author Σ 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) Person who received and recorded the answers
... source Σ 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) The person who answered the questions
... item SC 1..* BackboneElement Groups and questions
Constraints: qrs-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string Pointer to specific item from Questionnaire
.... text S 0..1 string Name for group or question text
.... answer S 0..* BackboneElement The response(s) to the question
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​identifier.use Base required IdentifierUse 📦4.3.0 FHIR Std.
QuestionnaireResponse.​identifier.type Base extensible IdentifierType 📦4.3.0 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.3.0 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.exists() and ('#'+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(uri) = '#').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()
hie-qr-answer-has-value-or-children error QuestionnaireResponse Each answer must have a value or nested items answer.exists() implies answer.all(value.exists() or item.exists())
hie-qr-item-has-answer-or-children warning QuestionnaireResponse Each item must contain an answer or nested items item.exists() implies (item.answer.exists() or item.item.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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* QuestionnaireResponse A structured set of questions and their answers
Constraints: hie-qr-item-has-answer-or-children, hie-qr-answer-has-value-or-children
... identifier
.... use 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type 1..1 HIECodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... system 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
.... assigner S 0..1 HIEReference(HIE Organization) Organization that issued id (may be just text)
... basedOn 0..* HIEReference(ServiceRequest) Request fulfilled by this QuestionnaireResponse
... partOf 0..* HIEReference(HIE Observation | Procedure) Part of this action
... status S 1..1 code in-progress | completed | amended | entered-in-error | stopped
... subject S 1..1 HIEReference(HIE Patient) The subject of the questions
... encounter S 0..1 HIEReference(HIE Encounter) Encounter created as part of
... authored S 1..1 dateTime Date the answers were gathered
... author 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) Person who received and recorded the answers
... source 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) The person who answered the questions
... item S 1..* BackboneElement Groups and questions
.... linkId S 1..1 string Pointer to specific item from Questionnaire
.... text S 0..1 string Name for group or question text
.... answer S 0..* BackboneElement The response(s) to the question

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​identifier.use Base required IdentifierUse 📦4.3.0 FHIR Std.
QuestionnaireResponse.​identifier.type Base extensible IdentifierType 📦4.3.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
hie-qr-answer-has-value-or-children error QuestionnaireResponse Each answer must have a value or nested items answer.exists() implies answer.all(value.exists() or item.exists())
hie-qr-item-has-answer-or-children warning QuestionnaireResponse Each item must contain an answer or nested items item.exists() implies (item.answer.exists() or item.item.exists())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* QuestionnaireResponse A structured set of questions and their answers
Constraints: hie-qr-item-has-answer-or-children, hie-qr-answer-has-value-or-children
... 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
... 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
Constraints: dom-r4b
... 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
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 1..1 HIECodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner SΣ 0..1 HIEReference(HIE Organization) Organization that issued id (may be just text)
... basedOn Σ 0..* HIEReference(ServiceRequest) Request fulfilled by this QuestionnaireResponse
... partOf Σ 0..* HIEReference(HIE Observation | Procedure) Part of this action
... questionnaire SΣ 1..1 canonical(Questionnaire) Form being answered
... status ?!SΣ 1..1 code in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 1..1 HIEReference(HIE Patient) The subject of the questions
... encounter SΣ 0..1 HIEReference(HIE Encounter) Encounter created as part of
... authored SΣ 1..1 dateTime Date the answers were gathered
... author Σ 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) Person who received and recorded the answers
... source Σ 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) The person who answered the questions
... item SC 1..* 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 S 1..1 string Pointer to specific item from Questionnaire
.... definition 0..1 uri ElementDefinition - details for the item
.... text S 0..1 string Name for group or question text
.... answer S 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): Binding this is problematic because one value set can't apply to both codes and quantities.
...... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​language Base preferred Common Languages 📍4.3.0 FHIR Std.
QuestionnaireResponse.​identifier.use Base required IdentifierUse 📦4.3.0 FHIR Std.
QuestionnaireResponse.​identifier.type Base extensible IdentifierType 📦4.3.0 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.3.0 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📍4.3.0 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.exists() and ('#'+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(uri) = '#').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()
dom-r4b warning QuestionnaireResponse.contained Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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()
hie-qr-answer-has-value-or-children error QuestionnaireResponse Each answer must have a value or nested items answer.exists() implies answer.all(value.exists() or item.exists())
hie-qr-item-has-answer-or-children warning QuestionnaireResponse Each item must contain an answer or nested items item.exists() implies (item.answer.exists() or item.item.exists())
qrs-1 error QuestionnaireResponse.item Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* QuestionnaireResponse A structured set of questions and their answers
Constraints: hie-qr-item-has-answer-or-children, hie-qr-answer-has-value-or-children
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Unique id for this set of answers
.... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 1..1 HIECodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... assigner SΣ 0..1 HIEReference(HIE Organization) Organization that issued id (may be just text)
... partOf Σ 0..* HIEReference(HIE Observation | Procedure) Part of this action
... questionnaire SΣ 1..1 canonical(Questionnaire) Form being answered
... status ?!SΣ 1..1 code in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 1..1 HIEReference(HIE Patient) The subject of the questions
... encounter SΣ 0..1 HIEReference(HIE Encounter) Encounter created as part of
... authored SΣ 1..1 dateTime Date the answers were gathered
... author Σ 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) Person who received and recorded the answers
... source Σ 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) The person who answered the questions
... item SC 1..* BackboneElement Groups and questions
Constraints: qrs-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string Pointer to specific item from Questionnaire
.... text S 0..1 string Name for group or question text
.... answer S 0..* BackboneElement The response(s) to the question
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​identifier.use Base required IdentifierUse 📦4.3.0 FHIR Std.
QuestionnaireResponse.​identifier.type Base extensible IdentifierType 📦4.3.0 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.3.0 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.exists() and ('#'+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(uri) = '#').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()
hie-qr-answer-has-value-or-children error QuestionnaireResponse Each answer must have a value or nested items answer.exists() implies answer.all(value.exists() or item.exists())
hie-qr-item-has-answer-or-children warning QuestionnaireResponse Each item must contain an answer or nested items item.exists() implies (item.answer.exists() or item.item.exists())
qrs-1 error QuestionnaireResponse.item Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()

Differential View

This structure is derived from QuestionnaireResponse

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* QuestionnaireResponse A structured set of questions and their answers
Constraints: hie-qr-item-has-answer-or-children, hie-qr-answer-has-value-or-children
... identifier
.... use 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type 1..1 HIECodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... system 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
.... assigner S 0..1 HIEReference(HIE Organization) Organization that issued id (may be just text)
... basedOn 0..* HIEReference(ServiceRequest) Request fulfilled by this QuestionnaireResponse
... partOf 0..* HIEReference(HIE Observation | Procedure) Part of this action
... status S 1..1 code in-progress | completed | amended | entered-in-error | stopped
... subject S 1..1 HIEReference(HIE Patient) The subject of the questions
... encounter S 0..1 HIEReference(HIE Encounter) Encounter created as part of
... authored S 1..1 dateTime Date the answers were gathered
... author 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) Person who received and recorded the answers
... source 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) The person who answered the questions
... item S 1..* BackboneElement Groups and questions
.... linkId S 1..1 string Pointer to specific item from Questionnaire
.... text S 0..1 string Name for group or question text
.... answer S 0..* BackboneElement The response(s) to the question

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​identifier.use Base required IdentifierUse 📦4.3.0 FHIR Std.
QuestionnaireResponse.​identifier.type Base extensible IdentifierType 📦4.3.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
hie-qr-answer-has-value-or-children error QuestionnaireResponse Each answer must have a value or nested items answer.exists() implies answer.all(value.exists() or item.exists())
hie-qr-item-has-answer-or-children warning QuestionnaireResponse Each item must contain an answer or nested items item.exists() implies (item.answer.exists() or item.item.exists())

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* QuestionnaireResponse A structured set of questions and their answers
Constraints: hie-qr-item-has-answer-or-children, hie-qr-answer-has-value-or-children
... 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
... 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
Constraints: dom-r4b
... 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
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 1..1 HIECodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner SΣ 0..1 HIEReference(HIE Organization) Organization that issued id (may be just text)
... basedOn Σ 0..* HIEReference(ServiceRequest) Request fulfilled by this QuestionnaireResponse
... partOf Σ 0..* HIEReference(HIE Observation | Procedure) Part of this action
... questionnaire SΣ 1..1 canonical(Questionnaire) Form being answered
... status ?!SΣ 1..1 code in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 1..1 HIEReference(HIE Patient) The subject of the questions
... encounter SΣ 0..1 HIEReference(HIE Encounter) Encounter created as part of
... authored SΣ 1..1 dateTime Date the answers were gathered
... author Σ 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) Person who received and recorded the answers
... source Σ 0..1 HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Patient | RelatedPerson) The person who answered the questions
... item SC 1..* 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 S 1..1 string Pointer to specific item from Questionnaire
.... definition 0..1 uri ElementDefinition - details for the item
.... text S 0..1 string Name for group or question text
.... answer S 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): Binding this is problematic because one value set can't apply to both codes and quantities.
...... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​language Base preferred Common Languages 📍4.3.0 FHIR Std.
QuestionnaireResponse.​identifier.use Base required IdentifierUse 📦4.3.0 FHIR Std.
QuestionnaireResponse.​identifier.type Base extensible IdentifierType 📦4.3.0 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.3.0 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📍4.3.0 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.exists() and ('#'+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(uri) = '#').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()
dom-r4b warning QuestionnaireResponse.contained Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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()
hie-qr-answer-has-value-or-children error QuestionnaireResponse Each answer must have a value or nested items answer.exists() implies answer.all(value.exists() or item.exists())
hie-qr-item-has-answer-or-children warning QuestionnaireResponse Each item must contain an answer or nested items item.exists() implies (item.answer.exists() or item.item.exists())
qrs-1 error QuestionnaireResponse.item Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()

 

Other representations of profile: CSV, Excel, Schematron