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Resource Profile: CDex SDC QuestionnaireResponse Profile

This extension is derived from the SDC Questionnaire Response profile and enforces the various elements of signature documented in the CDex guide to represent an enveloped signature. It adds the following constraints:

• The signature extensions use the CDex Signature Profile

Usage:

• Examples for this Resource Profile: QuestionnaireResponse/cdex-questionnaireresponse-example3 and QuestionnaireResponse/cdex-questionnaireresponse-example4

Formal Views of Profile Content

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

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

This structure is derived from SDCQuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	SDCQuestionnaireResponse	SDC Questionnaire Response
extension:signature		0..*	signature	A signature attesting to the content
value[x]		1..1	CDexSignature	JWS Digital Signature
item		0..*	BackboneElement	Groups and questions
extension:ItemSignature		0..*	signature	A signature attesting to the content
value[x]		1..1	CDexSignature	JWS Digital Signature
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponse	SDC Questionnaire Response
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"
value[x]	C	1..1	CDexSignature	JWS Digital Signature
completionMode		0..1	CodeableConcept	E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Unique id for this set of answers
questionnaire	SΣ	1..1	canonical(SDCBaseQuestionnaire)	Form being answered
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	SΣ	0..1	Reference(Resource)	The subject of the questions
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers
item	SC	0..*	BackboneElement	Groups and questions
itemMedia		0..1	Attachment	Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
ItemSignature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"
value[x]	C	1..1	CDexSignature	JWS Digital Signature
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId	S	1..1	string	Pointer to specific item from Questionnaire
text	S	0..1	string	Name for group or question text
answer	S	0..*	BackboneElement	The response(s) to the question
itemAnswerMedia		0..1	Attachment	Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
ordinalValue		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]	S	0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDate			date
valueDateTime			dateTime
valueTime			time
valueDecimal			decimal
valueInteger			integer
valueString			string
valueCoding			Coding
valueUri			uri
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Any)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
QuestionnaireResponse.status	required	QuestionnaireResponseStatus
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponse	SDC Questionnaire Response
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"
value[x]	C	1..1	CDexSignature	JWS Digital Signature
completionMode		0..1	CodeableConcept	E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Unique id for this set of answers
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	Request fulfilled by this QuestionnaireResponse
partOf	Σ	0..*	Reference(Observation | Procedure)	Part of this action
questionnaire	SΣ	1..1	canonical(SDCBaseQuestionnaire)	Form being answered
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
value		0..1	string	Primitive value for canonical
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	SΣ	0..1	Reference(Resource)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
item	SC	0..*	BackboneElement	Groups and questions
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
itemMedia		0..1	Attachment	Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
ItemSignature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"
value[x]	C	1..1	CDexSignature	JWS Digital Signature
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId	S	1..1	string	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text	S	0..1	string	Name for group or question text
answer	S	0..*	BackboneElement	The response(s) to the question
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
itemAnswerMedia		0..1	Attachment	Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
ordinalValue		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]	S	0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDate			date
valueDateTime			dateTime
valueTime			time
valueDecimal			decimal
valueInteger			integer
valueString			string
valueCoding			Coding
valueUri			uri
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Any)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
QuestionnaireResponse.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
QuestionnaireResponse.status	required	QuestionnaireResponseStatus
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)

This structure is derived from SDCQuestionnaireResponse

Summary

Structures

This structure refers to these other structures:

• CDex Signature Profile (http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-signature)

Maturity: 2

Differential View

This structure is derived from SDCQuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	SDCQuestionnaireResponse	SDC Questionnaire Response
extension:signature		0..*	signature	A signature attesting to the content
value[x]		1..1	CDexSignature	JWS Digital Signature
item		0..*	BackboneElement	Groups and questions
extension:ItemSignature		0..*	signature	A signature attesting to the content
value[x]		1..1	CDexSignature	JWS Digital Signature
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponse	SDC Questionnaire Response
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"
value[x]	C	1..1	CDexSignature	JWS Digital Signature
completionMode		0..1	CodeableConcept	E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Unique id for this set of answers
questionnaire	SΣ	1..1	canonical(SDCBaseQuestionnaire)	Form being answered
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	SΣ	0..1	Reference(Resource)	The subject of the questions
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers
item	SC	0..*	BackboneElement	Groups and questions
itemMedia		0..1	Attachment	Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
ItemSignature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"
value[x]	C	1..1	CDexSignature	JWS Digital Signature
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId	S	1..1	string	Pointer to specific item from Questionnaire
text	S	0..1	string	Name for group or question text
answer	S	0..*	BackboneElement	The response(s) to the question
itemAnswerMedia		0..1	Attachment	Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
ordinalValue		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]	S	0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDate			date
valueDateTime			dateTime
valueTime			time
valueDecimal			decimal
valueInteger			integer
valueString			string
valueCoding			Coding
valueUri			uri
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Any)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
QuestionnaireResponse.status	required	QuestionnaireResponseStatus
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponse	SDC Questionnaire Response
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"
value[x]	C	1..1	CDexSignature	JWS Digital Signature
completionMode		0..1	CodeableConcept	E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Unique id for this set of answers
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	Request fulfilled by this QuestionnaireResponse
partOf	Σ	0..*	Reference(Observation | Procedure)	Part of this action
questionnaire	SΣ	1..1	canonical(SDCBaseQuestionnaire)	Form being answered
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
value		0..1	string	Primitive value for canonical
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	SΣ	0..1	Reference(Resource)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
item	SC	0..*	BackboneElement	Groups and questions
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
itemMedia		0..1	Attachment	Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
ItemSignature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"
value[x]	C	1..1	CDexSignature	JWS Digital Signature
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId	S	1..1	string	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text	S	0..1	string	Name for group or question text
answer	S	0..*	BackboneElement	The response(s) to the question
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
itemAnswerMedia		0..1	Attachment	Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
ordinalValue		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]	S	0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDate			date
valueDateTime			dateTime
valueTime			time
valueDecimal			decimal
valueInteger			integer
valueString			string
valueCoding			Coding
valueUri			uri
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Any)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
QuestionnaireResponse.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
QuestionnaireResponse.status	required	QuestionnaireResponseStatus
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)

This structure is derived from SDCQuestionnaireResponse

Summary

Structures

This structure refers to these other structures:

• CDex Signature Profile (http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-signature)

Maturity: 2

Other representations of profile: CSV, Excel, Schematron