Da Vinci - Documentation Templates and Rules
2.2.0-ballot - STU 2.2 - Ballot United States of America flag

This page is part of the Documentation Templates and Rules (v2.2.0-ballot: STU 2.2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 2.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: DTR Questionnaire Response for adaptive form

Official URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaireresponse-adapt Version: 2.2.0-ballot
Standards status: Trial-use Maturity Level: 2 Computable Name: DTRQuestionnaireResponseAdapt

Enforces DTR requirements on a completed or partially completed Adaptive QuestionnaireResponse, including allowing the response to be linked to the relevant order, coverage, etc. and enforcing constraints applicable to the DTR context.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* DTRQuestionnaireResponse SDC Questionnaire Response
Constraints: sdcqr-1, sdcqr-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained S 1..1 DTRQuestionnaireAdapt A structured set of questions
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:signature S 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension: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.
.... extension:coverage S 1..* Reference(CRD Coverage(2.1.0)) Identifies the coverages associated with the specified QuestionnaireResponse.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
.... extension:context S 0..* Reference(CRD Device Request(2.1.0) | CRD Medication Request(2.1.0) | CRD Nutrition Order(2.1.0) | CRD Service Request(2.1.0) | CRD Encounter(2.1.0) | CRD Base Appointment(2.1.0)) Identifies the orders and/or other resources associated with the specified QuestionnaireResponse.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context
.... extension:coverage-information S 0..* (Complex) Coverage Info
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
.... extension:intendedUse S 1..* CodeableConcept Indicates how the EHR is to use the information with respect to the associated orders/records.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse
Binding: CRDDocReason (2.1.0) (required)
... identifier SΣ 0..1 Identifier Unique id for this set of answers
... questionnaire SΣ 1..1 canonical(SDCBaseQuestionnaire) {c} Form being answered
.... Slices for extension Content/Rules for all slices
..... extension: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 1..1 Reference(CRD Patient(2.1.0)) The subject of the questions
... authored SΣ 1..1 dateTime Date the answers were gathered
... author SΣ 0..1 Reference(Device | CRD Patient(2.1.0) | US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile(1.1.0) | CRD Organization(2.1.0) | RelatedPerson) Person who received and recorded the answers
... item SC 0..* BackboneElement Groups and questions
Constraints: qrs-1
.... Slices for extension Content/Rules for all slices
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature S 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-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
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:itemAnswerMedia S 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:ordinalValue S 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
...... extension:origin S 1..1 (Complex) Extension
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin
...... extension:containedReference S 0..1 boolean Contain the reference?
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference
..... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
QuestionnaireResponse.statusrequiredQuestionnaireResponseStatus
http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1
From the FHIR Standard
QuestionnaireResponse.item.answer.value[x]exampleQuestionnaireAnswerCodes(a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/questionnaire-answers
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceQuestionnaireResponseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qrs-1errorQuestionnaireResponse.itemNested item can't be beneath both item and answer
: (answer.exists() and item.exists()).not()
sdcqr-1best practiceQuestionnaireResponseSubject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
: subject.exists()
sdcqr-2best practiceQuestionnaireResponseWhen repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
: (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()

This structure is derived from DTRQuestionnaireResponse

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse DTRQuestionnaireResponse
... contained S 1..1 DTRQuestionnaireAdapt A structured set of questions
... questionnaire 1..1 canonical(SDCBaseQuestionnaire) {c} Form being answered

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* DTRQuestionnaireResponse SDC Questionnaire Response
Constraints: sdcqr-1, sdcqr-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained S 1..1 DTRQuestionnaireAdapt A structured set of questions
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:signature S 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension: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.
.... extension:coverage S 1..* Reference(CRD Coverage(2.1.0)) Identifies the coverages associated with the specified QuestionnaireResponse.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
.... extension:context S 0..* Reference(CRD Device Request(2.1.0) | CRD Medication Request(2.1.0) | CRD Nutrition Order(2.1.0) | CRD Service Request(2.1.0) | CRD Encounter(2.1.0) | CRD Base Appointment(2.1.0)) Identifies the orders and/or other resources associated with the specified QuestionnaireResponse.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context
.... extension:coverage-information S 0..* (Complex) Coverage Info
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
.... extension:intendedUse S 1..* CodeableConcept Indicates how the EHR is to use the information with respect to the associated orders/records.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse
Binding: CRDDocReason (2.1.0) (required)
... 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) {c} 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
..... extension: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 1..1 Reference(CRD Patient(2.1.0)) 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 | CRD Patient(2.1.0) | US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile(1.1.0) | CRD Organization(2.1.0) | RelatedPerson) 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
Constraints: qrs-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature S 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-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 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:itemAnswerMedia S 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:ordinalValue S 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
...... extension:origin S 1..1 (Complex) Extension
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin
...... extension:containedReference S 0..1 boolean Contain the reference?
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference
..... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
QuestionnaireResponse.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
QuestionnaireResponse.statusrequiredQuestionnaireResponseStatus
http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1
From the FHIR Standard
QuestionnaireResponse.item.answer.value[x]exampleQuestionnaireAnswerCodes(a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/questionnaire-answers
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceQuestionnaireResponseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qrs-1errorQuestionnaireResponse.itemNested item can't be beneath both item and answer
: (answer.exists() and item.exists()).not()
sdcqr-1best practiceQuestionnaireResponseSubject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
: subject.exists()
sdcqr-2best practiceQuestionnaireResponseWhen repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
: (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* DTRQuestionnaireResponse SDC Questionnaire Response
Constraints: sdcqr-1, sdcqr-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained S 1..1 DTRQuestionnaireAdapt A structured set of questions
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:signature S 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension: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.
.... extension:coverage S 1..* Reference(CRD Coverage(2.1.0)) Identifies the coverages associated with the specified QuestionnaireResponse.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
.... extension:context S 0..* Reference(CRD Device Request(2.1.0) | CRD Medication Request(2.1.0) | CRD Nutrition Order(2.1.0) | CRD Service Request(2.1.0) | CRD Encounter(2.1.0) | CRD Base Appointment(2.1.0)) Identifies the orders and/or other resources associated with the specified QuestionnaireResponse.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context
.... extension:coverage-information S 0..* (Complex) Coverage Info
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
.... extension:intendedUse S 1..* CodeableConcept Indicates how the EHR is to use the information with respect to the associated orders/records.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse
Binding: CRDDocReason (2.1.0) (required)
... identifier SΣ 0..1 Identifier Unique id for this set of answers
... questionnaire SΣ 1..1 canonical(SDCBaseQuestionnaire) {c} Form being answered
.... Slices for extension Content/Rules for all slices
..... extension: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 1..1 Reference(CRD Patient(2.1.0)) The subject of the questions
... authored SΣ 1..1 dateTime Date the answers were gathered
... author SΣ 0..1 Reference(Device | CRD Patient(2.1.0) | US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile(1.1.0) | CRD Organization(2.1.0) | RelatedPerson) Person who received and recorded the answers
... item SC 0..* BackboneElement Groups and questions
Constraints: qrs-1
.... Slices for extension Content/Rules for all slices
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature S 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-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
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:itemAnswerMedia S 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:ordinalValue S 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
...... extension:origin S 1..1 (Complex) Extension
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin
...... extension:containedReference S 0..1 boolean Contain the reference?
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference
..... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
QuestionnaireResponse.statusrequiredQuestionnaireResponseStatus
http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1
From the FHIR Standard
QuestionnaireResponse.item.answer.value[x]exampleQuestionnaireAnswerCodes(a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/questionnaire-answers
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceQuestionnaireResponseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qrs-1errorQuestionnaireResponse.itemNested item can't be beneath both item and answer
: (answer.exists() and item.exists()).not()
sdcqr-1best practiceQuestionnaireResponseSubject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
: subject.exists()
sdcqr-2best practiceQuestionnaireResponseWhen repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
: (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()

Differential View

This structure is derived from DTRQuestionnaireResponse

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse DTRQuestionnaireResponse
... contained S 1..1 DTRQuestionnaireAdapt A structured set of questions
... questionnaire 1..1 canonical(SDCBaseQuestionnaire) {c} Form being answered

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* DTRQuestionnaireResponse SDC Questionnaire Response
Constraints: sdcqr-1, sdcqr-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained S 1..1 DTRQuestionnaireAdapt A structured set of questions
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:signature S 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension: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.
.... extension:coverage S 1..* Reference(CRD Coverage(2.1.0)) Identifies the coverages associated with the specified QuestionnaireResponse.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-coverage
.... extension:context S 0..* Reference(CRD Device Request(2.1.0) | CRD Medication Request(2.1.0) | CRD Nutrition Order(2.1.0) | CRD Service Request(2.1.0) | CRD Encounter(2.1.0) | CRD Base Appointment(2.1.0)) Identifies the orders and/or other resources associated with the specified QuestionnaireResponse.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/qr-context
.... extension:coverage-information S 0..* (Complex) Coverage Info
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
.... extension:intendedUse S 1..* CodeableConcept Indicates how the EHR is to use the information with respect to the associated orders/records.
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/intendedUse
Binding: CRDDocReason (2.1.0) (required)
... 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) {c} 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
..... extension: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 1..1 Reference(CRD Patient(2.1.0)) 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 | CRD Patient(2.1.0) | US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile(1.1.0) | CRD Organization(2.1.0) | RelatedPerson) 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
Constraints: qrs-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature S 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-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 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:itemAnswerMedia S 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:ordinalValue S 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
...... extension:origin S 1..1 (Complex) Extension
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin
...... extension:containedReference S 0..1 boolean Contain the reference?
URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/containedReference
..... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
QuestionnaireResponse.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
QuestionnaireResponse.statusrequiredQuestionnaireResponseStatus
http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1
From the FHIR Standard
QuestionnaireResponse.item.answer.value[x]exampleQuestionnaireAnswerCodes(a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/questionnaire-answers
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceQuestionnaireResponseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qrs-1errorQuestionnaireResponse.itemNested item can't be beneath both item and answer
: (answer.exists() and item.exists()).not()
sdcqr-1best practiceQuestionnaireResponseSubject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
: subject.exists()
sdcqr-2best practiceQuestionnaireResponseWhen repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
: (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()

 

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