Connectathon 11 Snapshot

This page is part of the FHIR Specification (v1.2.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

K.19.4 StructureDefinition: GAO Questionnaire - Detailed Descriptions

Definitions for the gao-questionnaire Profile.

Questionnaire
Definition

A structured set of questions intended to guide the collection of answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the underlying questions.

Control0..*
TypeQuestionnaire
Alternate NamesForm, CRF, Survey
InvariantsDefined on this element
que-2: The link ids for groups and questions must be unique within the questionnaire (xpath: count(descendant::f:linkId/@value)=count(distinct-values(descendant::f:linkId/@value)))
Questionnaire.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..1
Typeid
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.

Questionnaire.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Control0..1
TypeMeta
Questionnaire.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Control0..1
Typeuri
Is Modifiertrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.

Questionnaire.language
Definition

The base language in which the resource is written.

Control0..1
BindingA human language.
The codes SHALL be taken from http://tools.ietf.org/html/bcp47
Typecode
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Questionnaire.text
Definition

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1 This element is affected by the following invariants: dom-1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.

Questionnaire.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

Questionnaire.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Questionnaire.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Questionnaire.identifier
Definition

This records identifiers associated with this question set that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).

Control0..*
TypeIdentifier
Requirements

Need to allow connection to a wider workflow.

Questionnaire.version
Definition

The version number assigned by the publisher for business reasons. It may remain the same when the resource is updated.

Control0..1
Typestring
Requirements

In some cases, separate resource instances might be created for each version (if an older version can be maintained once a new version exists).

Alternate NamesN/A - MIF rather than RIM level
Questionnaire.status
Definition

The lifecycle status of the questionnaire as a whole.

Control1..1
BindingLifecycle status of the questionnaire.
The codes SHALL be taken from QuestionnaireStatus
Typecode
Is Modifiertrue
Questionnaire.date
Definition

The date that this questionnaire was last changed.

Control0..1
TypedateTime
Alternate NamesDate created, Date published, Date issued, Date updated
Questionnaire.publisher
Definition

Organization or person responsible for developing and maintaining the questionnaire.

Control0..1
Typestring
Requirements

Conveys responsibility for the questions and their organization and also helps evaluate the questionnaire's "authority".

Questionnaire.telecom
Definition

Contact details to assist a user in finding and communicating with the publisher.

Control0..*
TypeContactPoint
Questionnaire.title
Definition

The name or label associated with this questionnaire.

Control0..1
Typestring
Requirements

Used for display, searching.

Questionnaire.concept
Definition

Identifies a how this question or group of questions is known in a particular terminology such as LOINC.

Control0..*
BindingCodes for questionnaires, groups and individual questions
For example codes, see Questionnaire Question Codes
TypeCoding
Requirements

Allows linking of the complete Questionnaire resources to formal terminologies. It's common for "pannels" of questions to be identified by a code.

Questionnaire.subjectType
Definition

Identifies the types of subjects that can be the subject of the questionnaire.

Control0..*
BindingOne of the resource types defined as part of FHIR.
The codes SHALL be taken from ResourceType
Typecode
Comments

If none are specified, then the subject is unlimited.

Questionnaire.item(item)
Definition

The questions and groupings of questions that make up the questionnaire.

Control0..* This element is affected by the following invariants: que-3
TypeBackboneElement
InvariantsDefined on this element
que-1: Group items must have nested items, display items cannot have nested items (xpath: not((f:type/@value='group' and not(f:item)) or (f:type/@value='display' and f:item)))
que-3: Display items cannot have a "concept" asserted (xpath: not(f:type/@value='display' and f:concept))
que-4: A question cannot have both option and options (xpath: not(f:options and f:option))
que-5: Only 'choice' items can have options (xpath: f:type/@value=('choice','open-choice') or not(f:option or f:options))
que-6: Required and repeat aren't permitted for display items (xpath: not(f:type/@value='display' and (f:required or f:repeats)))
Questionnaire.item.id
Definition

unique id for the element within a resource (for internal references).

Control0..1
Typeid
Questionnaire.item.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Questionnaire.item.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Questionnaire.item.linkId
Definition

An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.

Control0..1
Typestring
Requirements

QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

Comments

May be omitted if there is no expectation to link answers back to a Questionnaire. This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.

Questionnaire.item.concept
Definition

Identifies a how this group of questions is known in a particular terminology such as LOINC.

Control0..* This element is affected by the following invariants: que-3
BindingCodes for questionnaires, groups and individual questions
For example codes, see Questionnaire Question Codes
TypeCoding
Requirements

Allows linking of groups of questions (and complete Questionnaire resources) to formal terminologies.

Comments

The code(s) for the "root" group apply to the questionnaire as a whole.

Questionnaire.item.text
Definition

The name of a section, the text of a question or text content for a text item.

Control0..1
Typestring
Questionnaire.item.type
Definition

Identifies the type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).

Control1..1
BindingDistinguishes groups from questions and display text and indicates data type for questions
The codes SHALL be taken from QuestionnaireItemType
Typecode
Requirements

Defines the format in which the user is to be prompted for the answer.

Comments

Additional constraints on the type of answer can be conveyed by extensions.

Questionnaire.item.required
Definition

If true, indicates that the item must be present in a "completed" QuestionnaireResponse. If false, the item may be skipped when answering the questionnaire.

Control0..1 This element is affected by the following invariants: que-6
Typeboolean
Default Valuefalse
Questionnaire.item.repeats
Definition

Whether the item may occur multiple times in the instance, containing multiple sets of answers.

Control0..1 This element is affected by the following invariants: que-6
Typeboolean
Requirements

Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.

Default Valuefalse
Questionnaire.item.options
Definition

Reference to a value set containing a list of codes representing permitted answers for the question.

Control0..1 This element is affected by the following invariants: que-4, que-5
TypeReference(ValueSet)
Comments

LOINC defines many useful value sets for questionnaire response. See LOINC Answer Lists.

Questionnaire.item.option
Definition

For a "choice" question, identifies one of the permitted answers for the question.

Control0..* This element is affected by the following invariants: que-4, que-5
BindingAllowed values to answer questions.
For example codes, see Questionnaire Answer Codes
TypeCoding
Questionnaire.item.item
Definition

Allows text, questions and other groups to be nested beneath a question or group.

Control0..* This element is affected by the following invariants: que-1
TypeSee item
Requirements

Reports can consist of complex nested groups.