Release 5
FoundationThis page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4
| FHIR Infrastructure Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw Turtle (+ also see Turtle/RDF Format Specification)
StructureDefinition for questionnaireresponse
@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
# - resource -------------------------------------------------------------------
[] a fhir:StructureDefinition ;
fhir:id [ fhir:v "QuestionnaireResponse"] ;
fhir:meta [
fhir:lastUpdated [ fhir:v "2023-03-26T15:21:02.749+11:00" ]
] ;
fhir:text [
fhir:status [ fhir:v "generated" ]
] ;
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-category" ] ;
fhir:value [ fhir:v "Clinical.Diagnostics" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
fhir:value [ fhir:v "trial-use" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
fhir:value [ fhir:v "5" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category" ] ;
fhir:value [ fhir:v "patient" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
fhir:value [ fhir:v "fhir" ]
] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"], [ fhir:v "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"] ;
fhir:version [ fhir:v "5.0.0"], [ fhir:v "5.0.0"] ;
fhir:name [ fhir:v "QuestionnaireResponse"], [ fhir:v "QuestionnaireResponse"] ;
fhir:status [ fhir:v "draft"], [ fhir:v "draft"] ;
fhir:experimental [ fhir:v "false"], [ fhir:v "false"] ;
fhir:date [ fhir:v "2023-03-26T15:21:02+11:00"], [ fhir:v "2023-03-26T15:21:02+11:00"] ;
fhir:publisher [ fhir:v "Health Level Seven International (FHIR Infrastructure)"], [ fhir:v "Health Level Seven International (FHIR Infrastructure)"] ;
fhir:contact ( [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]
] )
] [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg/index.cfm" ]
] )
] [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]
] )
] [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg/index.cfm" ]
] )
] ) ;
fhir:description [ fhir:v "A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to."], [ fhir:v "A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to."] ;
fhir:jurisdiction ( [
fhir:coding ( [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] ) ;
fhir:purpose [ fhir:v "To support structured, hierarchical reporting of data gathered using digital forms and other questionnaires."], [ fhir:v "To support structured, hierarchical reporting of data gathered using digital forms and other questionnaires."] ;
fhir:fhirVersion [ fhir:v "5.0.0"] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:uri [ fhir:v "http://hl7.org/fhir/workflow" ] ;
fhir:name [ fhir:v "Workflow Pattern" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:uri [ fhir:v "http://hl7.org/fhir/fivews" ] ;
fhir:name [ fhir:v "FiveWs Pattern Mapping" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:uri [ fhir:v "http://hl7.org/v3" ] ;
fhir:name [ fhir:v "RIM Mapping" ]
] ) ;
fhir:kind [ fhir:v "resource"] ;
fhir:abstract [ fhir:v "false"] ;
fhir:type [ fhir:v "QuestionnaireResponse"] ;
fhir:baseDefinition [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"] ;
fhir:derivation [ fhir:v "specialization"] ;
fhir:snapshot [
fhir:element ( [
fhir:id [ fhir:v "QuestionnaireResponse" ] ;
fhir:path [ fhir:v "QuestionnaireResponse" ] ;
fhir:short [ fhir:v "A structured set of questions and their answers" ] ;
fhir:definition [ fhir:v "A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to." ] ;
fhir:comment [ fhir:v "The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse." ] ;
fhir:alias ( [ fhir:v "Form" ] [ fhir:v "QuestionnaireAnswers" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:constraint ( [
fhir:key [ fhir:v "dom-2" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ;
fhir:expression [ fhir:v "contained.contained.empty()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
] [
fhir:key [ fhir:v "dom-3" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "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" ] ;
fhir:expression [ fhir:v "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
] [
fhir:key [ fhir:v "dom-4" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ;
fhir:expression [ fhir:v "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
] [
fhir:key [ fhir:v "dom-5" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a security label" ] ;
fhir:expression [ fhir:v "contained.meta.security.empty()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
] [
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ] ;
fhir:value [ fhir:v "true" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ] ;
fhir:value [ fhir:v "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ]
] ) ;
fhir:key [ fhir:v "dom-6" ] ;
fhir:severity [ fhir:v "warning" ] ;
fhir:human [ fhir:v "A resource should have narrative for robust management" ] ;
fhir:expression [ fhir:v "text.`div`.exists()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "Entity, Role, or Act,Observation[moodCode=EVN]" ]
] [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "infrastructure.information" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.id" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.id" ] ;
fhir:short [ fhir:v "Logical id of this artifact" ] ;
fhir:definition [ fhir:v "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ;
fhir:comment [ fhir:v "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Resource.id" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
fhir:value [ fhir:v "id" ]
] ) ;
fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ]
] [
fhir:id [ fhir:v "QuestionnaireResponse.meta" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.meta" ] ;
fhir:short [ fhir:v "Metadata about the resource" ] ;
fhir:definition [ fhir:v "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Resource.meta" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Meta" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ]
] [
fhir:id [ fhir:v "QuestionnaireResponse.implicitRules" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.implicitRules" ] ;
fhir:short [ fhir:v "A set of rules under which this content was created" ] ;
fhir:definition [ fhir:v "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ] ;
fhir:comment [ fhir:v "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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Resource.implicitRules" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "uri" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "true" ] ;
fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation" ] ;
fhir:isSummary [ fhir:v "true" ]
] [
fhir:id [ fhir:v "QuestionnaireResponse.language" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.language" ] ;
fhir:short [ fhir:v "Language of the resource content" ] ;
fhir:definition [ fhir:v "The base language in which the resource is written." ] ;
fhir:comment [ fhir:v "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)." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Resource.language" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "code" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:binding [
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
fhir:value [ fhir:v "Language" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ] ;
fhir:value [ fhir:v "true" ]
] ) ;
fhir:strength [ fhir:v "required" ] ;
fhir:description [ fhir:v "IETF language tag for a human language" ] ;
fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/all-languages|5.0.0" ] ;
fhir:additional ( [
fhir:purpose [ fhir:v "starter" ] ;
fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/languages" ]
] )
]
] [
fhir:id [ fhir:v "QuestionnaireResponse.text" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.text" ] ;
fhir:short [ fhir:v "Text summary of the resource, for human interpretation" ] ;
fhir:definition [ fhir:v "A human-readable narrative that contains a summary of the resource and can 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." ] ;
fhir:comment [ fhir:v "Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ] ;
fhir:alias ( [ fhir:v "narrative" ] [ fhir:v "html" ] [ fhir:v "xhtml" ] [ fhir:v "display" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "DomainResource.text" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Narrative" ]
] ) ;
fhir:condition ( [ fhir:v "dom-6" ] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "Act.text?" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.contained" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.contained" ] ;
fhir:short [ fhir:v "Contained, inline Resources" ] ;
fhir:definition [ fhir:v "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning." ] ;
fhir:comment [ fhir:v "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. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels." ] ;
fhir:alias ( [ fhir:v "inline resources" ] [ fhir:v "anonymous resources" ] [ fhir:v "contained resources" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "DomainResource.contained" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Resource" ]
] ) ;
fhir:condition ( [ fhir:v "dom-2" ] [ fhir:v "dom-4" ] [ fhir:v "dom-3" ] [ fhir:v "dom-5" ] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.extension" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "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." ] ;
fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "DomainResource.extension" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Extension" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.modifierExtension" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored" ] ;
fhir:definition [ fhir:v "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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "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." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ] ;
fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "DomainResource.modifierExtension" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Extension" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "true" ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.identifier" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.identifier" ] ;
fhir:short [ fhir:v "Business identifier for this set of answers" ] ;
fhir:definition [ fhir:v "Business identifiers assigned to this questionnaire response by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server." ] ;
fhir:comment [ fhir:v "Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers))." ] ;
fhir:requirements [ fhir:v "Allows identification of the questionnaire response as it is known by various participating systems and in a way that remains consistent across servers." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.identifier" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Identifier" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.identifier" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.identifier" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".id" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.basedOn" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.basedOn" ] ;
fhir:short [ fhir:v "Request fulfilled by this QuestionnaireResponse" ] ;
fhir:definition [ fhir:v "A plan, proposal or order that is fulfilled in whole or in part by this questionnaire response. For example, a ServiceRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression." ] ;
fhir:requirements [ fhir:v "Supports traceability of responsibility for the questionnaire response and allows linkage of the response to the proposals/recommendations acted upon." ] ;
fhir:alias ( [ fhir:v "order" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.basedOn" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/CarePlan" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ] )
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.basedOn" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=FLFS].target" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.partOf" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.partOf" ] ;
fhir:short [ fhir:v "Part of referenced event" ] ;
fhir:definition [ fhir:v "A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of." ] ;
fhir:comment [ fhir:v "Not to be used to link an questionnaire response to an Encounter - use 'context' for that.\n\nComposition of questionnaire responses will be handled using the Assemble operation defined in the SDC IG. For relationships to referrals, and other types of requests, use basedOn." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.partOf" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure" ] )
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.partOf" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.questionnaire" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.questionnaire" ] ;
fhir:short [ fhir:v "Canonical URL of Questionnaire being answered" ] ;
fhir:definition [ fhir:v "The Questionnaire that defines and organizes the questions for which answers are being provided." ] ;
fhir:comment [ fhir:v "If a QuestionnaireResponse references a Questionnaire that can be resolved, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.). It is possible to have a QuestionnaireResponse whose 'questionnaire' element does not resolve. It is also possible for the questionnaire element to not have a value but only extensions (e.g. conveying the title or identifier for the questionnaire). This may happen for legacy data. If there is no formally defined Questionnaire, it is undefined what the 'correct' values for the linkId elements should be and it is possible that linkIds might be inconsistent for QuestionnaireResponses for the same form if captured by distinct systems." ] ;
fhir:requirements [ fhir:v "Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form." ] ;
fhir:alias ( [ fhir:v "Form" ] ) ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.questionnaire" ] ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "canonical" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Questionnaire" ] )
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.status" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.status" ] ;
fhir:short [ fhir:v "in-progress | completed | amended | entered-in-error | stopped" ] ;
fhir:definition [ fhir:v "The current state of the questionnaire response." ] ;
fhir:comment [ fhir:v "Unknown does not represent \"other\" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is." ] ;
fhir:requirements [ fhir:v "The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished." ] ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.status" ] ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "code" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "true" ] ;
fhir:isModifierReason [ fhir:v "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:binding [
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
fhir:value [ fhir:v "QuestionnaireResponseStatus" ]
] ) ;
fhir:strength [ fhir:v "required" ] ;
fhir:description [ fhir:v "Lifecycle status of the questionnaire response." ] ;
fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/questionnaire-answers-status|5.0.0" ]
] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.status" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.status" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish \"in-progress\" from \"published)" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.subject" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.subject" ] ;
fhir:short [ fhir:v "The subject of the questions" ] ;
fhir:definition [ fhir:v "The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information." ] ;
fhir:comment [ fhir:v "If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types." ] ;
fhir:requirements [ fhir:v "Links the questionnaire response to the Patient context. May also affect access control." ] ;
fhir:alias ( [ fhir:v "Patient" ] [ fhir:v "Focus" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.subject" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource" ] )
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.subject" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.subject[x]" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".participation[typeCode=SBJ].role" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.encounter" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.encounter" ] ;
fhir:short [ fhir:v "Encounter the questionnaire response is part of" ] ;
fhir:definition [ fhir:v "The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated." ] ;
fhir:comment [ fhir:v "This will typically be the encounter the questionnaire response was created during, but some questionnaire responses may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission forms). A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter." ] ;
fhir:requirements [ fhir:v "Links the questionnaire response to the Encounter context. May also affect access control." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.encounter" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter" ] )
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.encounter" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.context" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.authored" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.authored" ] ;
fhir:short [ fhir:v "Date the answers were gathered" ] ;
fhir:definition [ fhir:v "The date and/or time that this questionnaire response was last modified by the user - e.g. changing answers or revising status." ] ;
fhir:comment [ fhir:v "May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.\n\nThis element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible." ] ;
fhir:requirements [ fhir:v "Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers." ] ;
fhir:alias ( [ fhir:v "Date Created" ] [ fhir:v "Date published" ] [ fhir:v "Date Issued" ] [ fhir:v "Date updated" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.authored" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "dateTime" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.recorded" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.recorded" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".participation[typeCode=AUT].time" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.author" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.author" ] ;
fhir:short [ fhir:v "The individual or device that received and recorded the answers" ] ;
fhir:definition [ fhir:v "The individual or device that received the answers to the questions in the QuestionnaireResponse and recorded them in the system." ] ;
fhir:comment [ fhir:v "Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated. Device should only be used if it directly determined the answers, not if it was merely used as a capture tool to record answers provided by others. In the latter case, information about the physical device, software, etc. would be captured using Provenance." ] ;
fhir:requirements [ fhir:v "Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers." ] ;
fhir:alias ( [ fhir:v "Laboratory" ] [ fhir:v "Service" ] [ fhir:v "Practitioner" ] [ fhir:v "Department" ] [ fhir:v "Company" ] [ fhir:v "Performer" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.author" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] )
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.performer.actor" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.author" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".participation[typeCode=AUT].role" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.source" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.source" ] ;
fhir:short [ fhir:v "The individual or device that answered the questions" ] ;
fhir:definition [ fhir:v "The individual or device that answered the questions about the subject." ] ;
fhir:comment [ fhir:v "If not specified, no inference can be made about who provided the data. Device should only be used if it directly determined the answers, not if it was merely used as a capture tool to record answers provided by others. In the latter case, information about the physical device, software, etc. would be captured using Provenance." ] ;
fhir:requirements [ fhir:v "When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.source" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] )
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.source" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".participation[typeCode=INF].role" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item" ] ;
fhir:short [ fhir:v "Groups and questions" ] ;
fhir:definition [ fhir:v "A group or question item from the original questionnaire for which answers are provided." ] ;
fhir:comment [ fhir:v "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).\\nWhen dealing with repeating items, each group repetition will be handled by a separate item. However, repeating questions are handled with a single question item and potentially multiple answers." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.item" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "BackboneElement" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] [
fhir:key [ fhir:v "qrs-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Item cannot contain both item and answer" ] ;
fhir:expression [ fhir:v "(answer.exists() and item.exists()).not()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" ]
] [
fhir:key [ fhir:v "qrs-2" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Repeated answers are combined in the answers array of a single item" ] ;
fhir:expression [ fhir:v "repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.id" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.id" ] ;
fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
fhir:value [ fhir:v "string" ]
] ) ;
fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
] ) ;
fhir:condition ( [ fhir:v "ele-1" ] ) ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.extension" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "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." ] ;
fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Extension" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension" ]
] ) ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.modifierExtension" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "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." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ] ;
fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Extension" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension" ]
] ) ;
fhir:isModifier [ fhir:v "true" ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.linkId" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.linkId" ] ;
fhir:short [ fhir:v "Pointer to specific item from Questionnaire" ] ;
fhir:definition [ fhir:v "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource." ] ;
fhir:requirements [ fhir:v "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier." ] ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.item.linkId" ] ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "string" ]
] ) ;
fhir:condition ( [ fhir:v "qrs-2" ] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.definition" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.definition" ] ;
fhir:short [ fhir:v "ElementDefinition - details for the item" ] ;
fhir:definition [ fhir:v "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item." ] ;
fhir:comment [ fhir:v "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed." ] ;
fhir:requirements [ fhir:v "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.item.definition" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "uri" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.text" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.text" ] ;
fhir:short [ fhir:v "Name for group or question text" ] ;
fhir:definition [ fhir:v "Text that is displayed above the contents of the group or as the text of the question being answered." ] ;
fhir:comment [ fhir:v "The text for an item SHOULD be identical to the text from the corresponding Questionnaire.item. This can't be strictly enforced because it's possible for the Questionnaire to be updated subsequent to the QuestionnaireResponse having been created, however the intention is that the text in the QuestionnaireResponse reflects what the user saw when completing the Questionnaire." ] ;
fhir:requirements [ fhir:v "Allows the questionnaire response to be read without access to the questionnaire." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.item.text" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "string" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".text" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.answer" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.answer" ] ;
fhir:short [ fhir:v "The response(s) to the question" ] ;
fhir:definition [ fhir:v "The respondent's answer(s) to the question." ] ;
fhir:comment [ fhir:v "The value is nested because we cannot have a repeating structure that has variable type." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.item.answer" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "BackboneElement" ]
] ) ;
fhir:condition ( [ fhir:v "qrs-1" ] [ fhir:v "qrs-2" ] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".value[type=LIST_ANY]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.answer.id" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.answer.id" ] ;
fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
fhir:value [ fhir:v "string" ]
] ) ;
fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
] ) ;
fhir:condition ( [ fhir:v "ele-1" ] ) ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.answer.extension" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.answer.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "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." ] ;
fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Extension" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension" ]
] ) ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.answer.modifierExtension" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.answer.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "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." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ] ;
fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "Extension" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension" ]
] ) ;
fhir:isModifier [ fhir:v "true" ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.answer.value[x]" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.answer.value[x]" ] ;
fhir:short [ fhir:v "Single-valued answer to the question" ] ;
fhir:definition [ fhir:v "The answer (or one of the answers) provided by the respondent to the question." ] ;
fhir:comment [ fhir:v "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire. Note that a question is answered using one of the possible choices defined with answerOption, answerValueSet or some other means and the answer has a complex data type, all elements within the answer in the QuestionnaireResponse **SHOULD** match the elements defined corresponding choice value in the Questionnaire. However, it is possible that not all elements will be propagated. Also, some systems might use language translations resulting in different displays. Comparison of value to the values defined in the Questionnaire (whether by answerOption, answerValueSet or answerExpression) **SHALL NOT** pay attention to Coding.display, Reference.display, Quantity.unit unless those are the only elements present. As well, systems are not required to check for a match on any extensions (e.g. ordinal values, translations, etc.). Systems **MAY** enforce that if extensions such as ordinal values are present in both Questionnaire and QuestionnaireResponse, they match." ] ;
fhir:requirements [ fhir:v "Ability to retain a single-valued answer to a question." ] ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.item.answer.value[x]" ] ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ]
] ;
fhir:type ( [
fhir:code [ fhir:v "boolean" ]
] [
fhir:code [ fhir:v "decimal" ]
] [
fhir:code [ fhir:v "integer" ]
] [
fhir:code [ fhir:v "date" ]
] [
fhir:code [ fhir:v "dateTime" ]
] [
fhir:code [ fhir:v "time" ]
] [
fhir:code [ fhir:v "string" ]
] [
fhir:code [ fhir:v "uri" ]
] [
fhir:code [ fhir:v "Attachment" ]
] [
fhir:code [ fhir:v "Coding" ]
] [
fhir:code [ fhir:v "Quantity" ] ;
fhir:profile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] )
] [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource" ] )
] ) ;
fhir:condition ( [ fhir:v "qrs-2" ] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:binding [
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/binding-definition" ] ;
fhir:value [ fhir:v "Code indicating the response provided for a question." ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
fhir:value [ fhir:v "QuestionnaireAnswer" ]
] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Binding this is problematic because one value set can't apply to both codes and quantities." ] ;
fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/questionnaire-answers" ]
] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".item" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.answer.item" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.answer.item" ] ;
fhir:short [ fhir:v "Child items of question" ] ;
fhir:definition [ fhir:v "Nested groups and/or questions found within this particular answer." ] ;
fhir:comment [ fhir:v "Only used when nesting beneath a question - see item.item for nesting beneath groups" ] ;
fhir:requirements [ fhir:v "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.item.answer.item" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:contentReference [ fhir:v "#QuestionnaireResponse.item" ] ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.item" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.item" ] ;
fhir:short [ fhir:v "Child items of group item" ] ;
fhir:definition [ fhir:v "Sub-questions, sub-groups or display items nested beneath a group." ] ;
fhir:comment [ fhir:v "Only used when nesting beneath a group - see item.answer.item for nesting beneath questions" ] ;
fhir:requirements [ fhir:v "Reports can consist of complex nested groups." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "QuestionnaireResponse.item.item" ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ]
] ;
fhir:contentReference [ fhir:v "#QuestionnaireResponse.item" ] ;
fhir:constraint ( [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" ]
] )
] )
] ;
fhir:differential [
fhir:element ( [
fhir:id [ fhir:v "QuestionnaireResponse" ] ;
fhir:path [ fhir:v "QuestionnaireResponse" ] ;
fhir:short [ fhir:v "A structured set of questions and their answers" ] ;
fhir:definition [ fhir:v "A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to." ] ;
fhir:comment [ fhir:v "The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse." ] ;
fhir:alias ( [ fhir:v "Form" ] [ fhir:v "QuestionnaireAnswers" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "infrastructure.information" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "Observation[moodCode=EVN]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.identifier" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.identifier" ] ;
fhir:short [ fhir:v "Business identifier for this set of answers" ] ;
fhir:definition [ fhir:v "Business identifiers assigned to this questionnaire response by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server." ] ;
fhir:comment [ fhir:v "Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers))." ] ;
fhir:requirements [ fhir:v "Allows identification of the questionnaire response as it is known by various participating systems and in a way that remains consistent across servers." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type ( [
fhir:code [ fhir:v "Identifier" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.identifier" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.identifier" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".id" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.basedOn" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.basedOn" ] ;
fhir:short [ fhir:v "Request fulfilled by this QuestionnaireResponse" ] ;
fhir:definition [ fhir:v "A plan, proposal or order that is fulfilled in whole or in part by this questionnaire response. For example, a ServiceRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression." ] ;
fhir:requirements [ fhir:v "Supports traceability of responsibility for the questionnaire response and allows linkage of the response to the proposals/recommendations acted upon." ] ;
fhir:alias ( [ fhir:v "order" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/CarePlan" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ] )
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.basedOn" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=FLFS].target" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.partOf" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.partOf" ] ;
fhir:short [ fhir:v "Part of referenced event" ] ;
fhir:definition [ fhir:v "A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of." ] ;
fhir:comment [ fhir:v "Not to be used to link an questionnaire response to an Encounter - use 'context' for that.\n\nComposition of questionnaire responses will be handled using the Assemble operation defined in the SDC IG. For relationships to referrals, and other types of requests, use basedOn." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure" ] )
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.partOf" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.questionnaire" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.questionnaire" ] ;
fhir:short [ fhir:v "Canonical URL of Questionnaire being answered" ] ;
fhir:definition [ fhir:v "The Questionnaire that defines and organizes the questions for which answers are being provided." ] ;
fhir:comment [ fhir:v "If a QuestionnaireResponse references a Questionnaire that can be resolved, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.). It is possible to have a QuestionnaireResponse whose 'questionnaire' element does not resolve. It is also possible for the questionnaire element to not have a value but only extensions (e.g. conveying the title or identifier for the questionnaire). This may happen for legacy data. If there is no formally defined Questionnaire, it is undefined what the 'correct' values for the linkId elements should be and it is possible that linkIds might be inconsistent for QuestionnaireResponses for the same form if captured by distinct systems." ] ;
fhir:requirements [ fhir:v "Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form." ] ;
fhir:alias ( [ fhir:v "Form" ] ) ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type ( [
fhir:code [ fhir:v "canonical" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Questionnaire" ] )
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.status" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.status" ] ;
fhir:short [ fhir:v "in-progress | completed | amended | entered-in-error | stopped" ] ;
fhir:definition [ fhir:v "The current state of the questionnaire response." ] ;
fhir:comment [ fhir:v "Unknown does not represent \"other\" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is." ] ;
fhir:requirements [ fhir:v "The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished." ] ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type ( [
fhir:code [ fhir:v "code" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "true" ] ;
fhir:isModifierReason [ fhir:v "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:binding [
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
fhir:value [ fhir:v "QuestionnaireResponseStatus" ]
] ) ;
fhir:strength [ fhir:v "required" ] ;
fhir:description [ fhir:v "Lifecycle status of the questionnaire response." ] ;
fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/questionnaire-answers-status|5.0.0" ]
] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.status" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.status" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish \"in-progress\" from \"published)" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.subject" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.subject" ] ;
fhir:short [ fhir:v "The subject of the questions" ] ;
fhir:definition [ fhir:v "The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information." ] ;
fhir:comment [ fhir:v "If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types." ] ;
fhir:requirements [ fhir:v "Links the questionnaire response to the Patient context. May also affect access control." ] ;
fhir:alias ( [ fhir:v "Patient" ] [ fhir:v "Focus" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource" ] )
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.subject" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.subject[x]" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".participation[typeCode=SBJ].role" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.encounter" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.encounter" ] ;
fhir:short [ fhir:v "Encounter the questionnaire response is part of" ] ;
fhir:definition [ fhir:v "The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated." ] ;
fhir:comment [ fhir:v "This will typically be the encounter the questionnaire response was created during, but some questionnaire responses may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission forms). A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter." ] ;
fhir:requirements [ fhir:v "Links the questionnaire response to the Encounter context. May also affect access control." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter" ] )
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.encounter" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.context" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.authored" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.authored" ] ;
fhir:short [ fhir:v "Date the answers were gathered" ] ;
fhir:definition [ fhir:v "The date and/or time that this questionnaire response was last modified by the user - e.g. changing answers or revising status." ] ;
fhir:comment [ fhir:v "May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.\n\nThis element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible." ] ;
fhir:requirements [ fhir:v "Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers." ] ;
fhir:alias ( [ fhir:v "Date Created" ] [ fhir:v "Date published" ] [ fhir:v "Date Issued" ] [ fhir:v "Date updated" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type ( [
fhir:code [ fhir:v "dateTime" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.recorded" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.recorded" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".participation[typeCode=AUT].time" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.author" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.author" ] ;
fhir:short [ fhir:v "The individual or device that received and recorded the answers" ] ;
fhir:definition [ fhir:v "The individual or device that received the answers to the questions in the QuestionnaireResponse and recorded them in the system." ] ;
fhir:comment [ fhir:v "Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated. Device should only be used if it directly determined the answers, not if it was merely used as a capture tool to record answers provided by others. In the latter case, information about the physical device, software, etc. would be captured using Provenance." ] ;
fhir:requirements [ fhir:v "Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers." ] ;
fhir:alias ( [ fhir:v "Laboratory" ] [ fhir:v "Service" ] [ fhir:v "Practitioner" ] [ fhir:v "Department" ] [ fhir:v "Company" ] [ fhir:v "Performer" ] ) ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] )
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.performer.actor" ]
] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.author" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".participation[typeCode=AUT].role" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.source" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.source" ] ;
fhir:short [ fhir:v "The individual or device that answered the questions" ] ;
fhir:definition [ fhir:v "The individual or device that answered the questions about the subject." ] ;
fhir:comment [ fhir:v "If not specified, no inference can be made about who provided the data. Device should only be used if it directly determined the answers, not if it was merely used as a capture tool to record answers provided by others. In the latter case, information about the physical device, software, etc. would be captured using Provenance." ] ;
fhir:requirements [ fhir:v "When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type ( [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] )
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "true" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.source" ]
] [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".participation[typeCode=INF].role" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item" ] ;
fhir:short [ fhir:v "Groups and questions" ] ;
fhir:definition [ fhir:v "A group or question item from the original questionnaire for which answers are provided." ] ;
fhir:comment [ fhir:v "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).\\nWhen dealing with repeating items, each group repetition will be handled by a separate item. However, repeating questions are handled with a single question item and potentially multiple answers." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type ( [
fhir:code [ fhir:v "BackboneElement" ]
] ) ;
fhir:constraint ( [
fhir:key [ fhir:v "qrs-2" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Repeated answers are combined in the answers array of a single item" ] ;
fhir:expression [ fhir:v "repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" ]
] [
fhir:key [ fhir:v "qrs-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Item cannot contain both item and answer" ] ;
fhir:expression [ fhir:v "(answer.exists() and item.exists()).not()" ] ;
fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.linkId" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.linkId" ] ;
fhir:short [ fhir:v "Pointer to specific item from Questionnaire" ] ;
fhir:definition [ fhir:v "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource." ] ;
fhir:requirements [ fhir:v "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier." ] ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type ( [
fhir:code [ fhir:v "string" ]
] ) ;
fhir:condition ( [ fhir:v "qrs-2" ] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.definition" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.definition" ] ;
fhir:short [ fhir:v "ElementDefinition - details for the item" ] ;
fhir:definition [ fhir:v "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item." ] ;
fhir:comment [ fhir:v "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed." ] ;
fhir:requirements [ fhir:v "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type ( [
fhir:code [ fhir:v "uri" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.text" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.text" ] ;
fhir:short [ fhir:v "Name for group or question text" ] ;
fhir:definition [ fhir:v "Text that is displayed above the contents of the group or as the text of the question being answered." ] ;
fhir:comment [ fhir:v "The text for an item SHOULD be identical to the text from the corresponding Questionnaire.item. This can't be strictly enforced because it's possible for the Questionnaire to be updated subsequent to the QuestionnaireResponse having been created, however the intention is that the text in the QuestionnaireResponse reflects what the user saw when completing the Questionnaire." ] ;
fhir:requirements [ fhir:v "Allows the questionnaire response to be read without access to the questionnaire." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type ( [
fhir:code [ fhir:v "string" ]
] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".text" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.answer" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.answer" ] ;
fhir:short [ fhir:v "The response(s) to the question" ] ;
fhir:definition [ fhir:v "The respondent's answer(s) to the question." ] ;
fhir:comment [ fhir:v "The value is nested because we cannot have a repeating structure that has variable type." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type ( [
fhir:code [ fhir:v "BackboneElement" ]
] ) ;
fhir:condition ( [ fhir:v "qrs-1" ] [ fhir:v "qrs-2" ] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".value[type=LIST_ANY]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.answer.value[x]" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.answer.value[x]" ] ;
fhir:short [ fhir:v "Single-valued answer to the question" ] ;
fhir:definition [ fhir:v "The answer (or one of the answers) provided by the respondent to the question." ] ;
fhir:comment [ fhir:v "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire. Note that a question is answered using one of the possible choices defined with answerOption, answerValueSet or some other means and the answer has a complex data type, all elements within the answer in the QuestionnaireResponse **SHOULD** match the elements defined corresponding choice value in the Questionnaire. However, it is possible that not all elements will be propagated. Also, some systems might use language translations resulting in different displays. Comparison of value to the values defined in the Questionnaire (whether by answerOption, answerValueSet or answerExpression) **SHALL NOT** pay attention to Coding.display, Reference.display, Quantity.unit unless those are the only elements present. As well, systems are not required to check for a match on any extensions (e.g. ordinal values, translations, etc.). Systems **MAY** enforce that if extensions such as ordinal values are present in both Questionnaire and QuestionnaireResponse, they match." ] ;
fhir:requirements [ fhir:v "Ability to retain a single-valued answer to a question." ] ;
fhir:min [ fhir:v "1" ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type ( [
fhir:code [ fhir:v "boolean" ]
] [
fhir:code [ fhir:v "decimal" ]
] [
fhir:code [ fhir:v "integer" ]
] [
fhir:code [ fhir:v "date" ]
] [
fhir:code [ fhir:v "dateTime" ]
] [
fhir:code [ fhir:v "time" ]
] [
fhir:code [ fhir:v "string" ]
] [
fhir:code [ fhir:v "uri" ]
] [
fhir:code [ fhir:v "Attachment" ]
] [
fhir:code [ fhir:v "Coding" ]
] [
fhir:code [ fhir:v "Quantity" ] ;
fhir:profile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] )
] [
fhir:code [ fhir:v "Reference" ] ;
fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource" ] )
] ) ;
fhir:condition ( [ fhir:v "qrs-2" ] ) ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:binding [
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/binding-definition" ] ;
fhir:value [ fhir:v "Code indicating the response provided for a question." ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
fhir:value [ fhir:v "QuestionnaireAnswer" ]
] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Binding this is problematic because one value set can't apply to both codes and quantities." ] ;
fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/questionnaire-answers" ]
] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".item" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.answer.item" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.answer.item" ] ;
fhir:short [ fhir:v "Child items of question" ] ;
fhir:definition [ fhir:v "Nested groups and/or questions found within this particular answer." ] ;
fhir:comment [ fhir:v "Only used when nesting beneath a question - see item.item for nesting beneath groups" ] ;
fhir:requirements [ fhir:v "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:contentReference [ fhir:v "#QuestionnaireResponse.item" ] ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" ]
] )
] [
fhir:id [ fhir:v "QuestionnaireResponse.item.item" ] ;
fhir:path [ fhir:v "QuestionnaireResponse.item.item" ] ;
fhir:short [ fhir:v "Child items of group item" ] ;
fhir:definition [ fhir:v "Sub-questions, sub-groups or display items nested beneath a group." ] ;
fhir:comment [ fhir:v "Only used when nesting beneath a group - see item.answer.item for nesting beneath questions" ] ;
fhir:requirements [ fhir:v "Reports can consist of complex nested groups." ] ;
fhir:min [ fhir:v "0" ] ;
fhir:max [ fhir:v "*" ] ;
fhir:contentReference [ fhir:v "#QuestionnaireResponse.item" ] ;
fhir:mustSupport [ fhir:v "false" ] ;
fhir:isModifier [ fhir:v "false" ] ;
fhir:isSummary [ fhir:v "false" ] ;
fhir:mapping ( [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" ]
] )
] )
] .
# -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0 generated on Sun, Mar 26, 2023 15:25+1100.
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