Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm
2.0.0 - STU2 United States of America flag

This page is part of the electronic Long-Term Services and Supports Implementation Guide (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: eLTSS QuestionnaireResponse Profile

Official URL: http://hl7.org/fhir/us/eltss/StructureDefinition/QuestionnaireResponse-eltss Version: 2.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: QuestionnaireResponse_eltss

This profile is consistent with the USCORE QuestionnaireResponse Profile, which is itself related to the SDCQuestionnaireResponse Profile. It supports core elements, vocabularies and value sets from the resource that are used to communicate eLTSS data elements.

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreQuestionnaireResponseProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse 0..* USCoreQuestionnaireResponseProfile eLTSS QuestionnaireResponse Profile is based on USCORE version 7.
... questionnaire 1..1 canonical(Questionnaire_eltss) (USCDI) Form being answered
... subject 1..1 Reference(Patient_eltss) (USCDI) The subject of the questions
... item
.... answer
..... value[x] 0..1 (USCDI) Single-valued answer to the 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)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C 0..* USCoreQuestionnaireResponseProfile eLTSS QuestionnaireResponse Profile is based on USCORE version 7.
sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
sdcqr-2: When 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.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-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
... questionnaire SΣ 1..1 canonical(Questionnaire_eltss) (USCDI) Form being answered
.... Slices for extension Content/Rules for all slices
..... questionnaireDisplay S 0..1 string Display name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
..... url S 0..1 uri (USCDI) The location where a non-FHIR questionnaire/survey form can be found.
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri
... status ?!SΣ 1..1 code (USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.

... subject SΣ 1..1 Reference(Patient_eltss) (USCDI) The subject of the questions
... authored SΣ 1..1 dateTime (USCDI) Date the answers were gathered
... author SΣ 0..1 Reference(US Core Practitioner Profile) (USCDI) Person who received and recorded the answers
... item SC 0..* BackboneElement (USCDI) Groups and questions
qrs-1: Nested item can't be beneath both item and answer
.... Slices for extension Content/Rules for all slices
..... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string (USCDI) 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 Content/Rules for all slices
...... 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 (USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueBoolean boolean
...... valueDecimal decimal
...... valueString string
...... valueCoding Coding
..... 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C 0..* USCoreQuestionnaireResponseProfile eLTSS QuestionnaireResponse Profile is based on USCORE version 7.
sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
sdcqr-2: When 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.
... 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
... 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
.... 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(Questionnaire_eltss) (USCDI) 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
..... url S 0..1 uri (USCDI) The location where a non-FHIR questionnaire/survey form can be found.
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri
.... value 0..1 string Primitive value for canonical
... status ?!SΣ 1..1 code (USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.

... subject SΣ 1..1 Reference(Patient_eltss) (USCDI) The subject of the questions
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... authored SΣ 1..1 dateTime (USCDI) Date the answers were gathered
... author SΣ 0..1 Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | Device | US Core RelatedPerson Profile) (USCDI) 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 (USCDI) Groups and questions
qrs-1: Nested item can't be beneath both item and answer
.... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string (USCDI) 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 (USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueBoolean boolean S
...... valueDate date
...... valueDateTime dateTime
...... valueTime time
...... valueDecimal decimal S
...... valueInteger integer
...... valueString string S
...... valueCoding Coding S
...... 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
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
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 USCoreQuestionnaireResponseProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse 0..* USCoreQuestionnaireResponseProfile eLTSS QuestionnaireResponse Profile is based on USCORE version 7.
... questionnaire 1..1 canonical(Questionnaire_eltss) (USCDI) Form being answered
... subject 1..1 Reference(Patient_eltss) (USCDI) The subject of the questions
... item
.... answer
..... value[x] 0..1 (USCDI) Single-valued answer to the 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)

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C 0..* USCoreQuestionnaireResponseProfile eLTSS QuestionnaireResponse Profile is based on USCORE version 7.
sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
sdcqr-2: When 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.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-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
... questionnaire SΣ 1..1 canonical(Questionnaire_eltss) (USCDI) Form being answered
.... Slices for extension Content/Rules for all slices
..... questionnaireDisplay S 0..1 string Display name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
..... url S 0..1 uri (USCDI) The location where a non-FHIR questionnaire/survey form can be found.
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri
... status ?!SΣ 1..1 code (USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.

... subject SΣ 1..1 Reference(Patient_eltss) (USCDI) The subject of the questions
... authored SΣ 1..1 dateTime (USCDI) Date the answers were gathered
... author SΣ 0..1 Reference(US Core Practitioner Profile) (USCDI) Person who received and recorded the answers
... item SC 0..* BackboneElement (USCDI) Groups and questions
qrs-1: Nested item can't be beneath both item and answer
.... Slices for extension Content/Rules for all slices
..... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string (USCDI) 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 Content/Rules for all slices
...... 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 (USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueBoolean boolean
...... valueDecimal decimal
...... valueString string
...... valueCoding Coding
..... 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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C 0..* USCoreQuestionnaireResponseProfile eLTSS QuestionnaireResponse Profile is based on USCORE version 7.
sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
sdcqr-2: When 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.
... 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
... 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
.... 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(Questionnaire_eltss) (USCDI) 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
..... url S 0..1 uri (USCDI) The location where a non-FHIR questionnaire/survey form can be found.
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri
.... value 0..1 string Primitive value for canonical
... status ?!SΣ 1..1 code (USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.

... subject SΣ 1..1 Reference(Patient_eltss) (USCDI) The subject of the questions
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... authored SΣ 1..1 dateTime (USCDI) Date the answers were gathered
... author SΣ 0..1 Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | Device | US Core RelatedPerson Profile) (USCDI) 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 (USCDI) Groups and questions
qrs-1: Nested item can't be beneath both item and answer
.... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string (USCDI) 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 (USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueBoolean boolean S
...... valueDate date
...... valueDateTime dateTime
...... valueTime time
...... valueDecimal decimal S
...... valueInteger integer
...... valueString string S
...... valueCoding Coding S
...... 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
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
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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