This page is part of the Structured Data Capture FHIR IG (v4.0.0-ballot: STU 4 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

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Resource Profile: Adaptive Questionnaire Response

Defines how the questionnaire response resource is used to reflect form data within the ONC's Structured Data Capture standard.

Usage:

• Use this Resource Profile: Next question operation input parameters and Next question operation output parameters
• Examples for this Resource Profile: QuestionnaireResponse/adaptive-questionnaireresponse-sdc-example-phq9

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 SDCQuestionnaireResponseCommon

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	SDCQuestionnaireResponseCommon	Adaptive Questionnaire Response
contained	S	1..*	Resource	Contained, inline Resources
questionnaire		1..1	canonical(Adaptive Questionnaire) {c}	Form being answered
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponseCommon	Adaptive Questionnaire Response dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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. sdcqr-3: Can either have source or source extension, but not both
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained	S	1..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
adheresTo		0..*	(Complex)	Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x]		1..1		Value of extension ele-1: All FHIR elements must have a @value or children
valueCanonical			canonical(ActivityDefinition | PlanDefinition)
valueReference			Reference(ActivityDefinition | PlanDefinition)
valueUri			uri
triggeredBy		0..1	(Complex)	Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x]		1..1		Value of extension ele-1: All FHIR elements must have a @value or children
valueCanonical			canonical(ActivityDefinition | PlanDefinition)
valueReference			Reference(ActivityDefinition | PlanDefinition)
valueUri			uri
signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
source		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source"
value[x]		1..1	Reference(Device | Organization)	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..1	Identifier	Unique id for this set of answers ele-1: All FHIR elements must have a @value or children
questionnaire	SΣ	1..1	canonical(Adaptive Questionnaire) {c}	Form being answered ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. ele-1: All FHIR elements must have a @value or children
subject	SΣ	0..1	Reference(Resource)	The subject of the questions ele-1: All FHIR elements must have a @value or children
authored	SΣ	1..1	dateTime	Date the answers were gathered ele-1: All FHIR elements must have a @value or children
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers ele-1: All FHIR elements must have a @value or children
item	SC	0..*	BackboneElement	Groups and questions ele-1: All FHIR elements must have a @value or children qrs-1: Nested item can't be beneath both item and answer qrs-2: Repeated answers are combined in the answers array of a single item
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
ItemSignature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
linkId	S	1..1	string	Pointer to specific item from Questionnaire ele-1: All FHIR elements must have a @value or children
text	S	0..1	string	Name for group or question text ele-1: All FHIR elements must have a @value or children
answer	S	0..*	BackboneElement	The response(s) to the question ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
itemWeight		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
value[x]	S	0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. ele-1: All FHIR elements must have a @value or children
valueBoolean			boolean
valueDecimal			decimal
valueInteger			integer
valueDate			date
valueDateTime			dateTime
valueTime			time
valueString			string
valueUri			uri
valueAttachment			Attachment
valueCoding			Coding
valueQuantity			Quantity
valueReference			Reference(Resource)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions ele-1: All FHIR elements must have a @value or children
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponseCommon	Adaptive Questionnaire Response 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. sdcqr-3: Can either have source or source extension, but not both
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	S	1..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
adheresTo		0..*	(Complex)	Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x]		1..1		Value of extension
valueCanonical			canonical(ActivityDefinition | PlanDefinition)
valueReference			Reference(ActivityDefinition | PlanDefinition)
valueUri			uri
triggeredBy		0..1	(Complex)	Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x]		1..1		Value of extension
valueCanonical			canonical(ActivityDefinition | PlanDefinition)
valueReference			Reference(ActivityDefinition | PlanDefinition)
valueUri			uri
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.
source		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source"
value[x]		1..1	Reference(Device | Organization)	Value of extension
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(Adaptive Questionnaire) {c}	Form being answered
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 qrs-1: Nested item can't be beneath both item and answer qrs-2: Repeated answers are combined in the answers array of a single item
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	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
itemWeight		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight
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
valueDecimal			decimal
valueInteger			integer
valueDate			date
valueDateTime			dateTime
valueTime			time
valueString			string
valueUri			uri
valueAttachment			Attachment
valueCoding			Coding
valueQuantity			Quantity
valueReference			Reference(Resource)
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	URI
QuestionnaireResponse.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

This structure is derived from SDCQuestionnaireResponseCommon

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

• Adaptive Questionnaire (http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-adapt)

Maturity: 4

Differential View

This structure is derived from SDCQuestionnaireResponseCommon

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	SDCQuestionnaireResponseCommon	Adaptive Questionnaire Response
contained	S	1..*	Resource	Contained, inline Resources
questionnaire		1..1	canonical(Adaptive Questionnaire) {c}	Form being answered
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponseCommon	Adaptive Questionnaire Response dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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. sdcqr-3: Can either have source or source extension, but not both
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained	S	1..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
adheresTo		0..*	(Complex)	Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x]		1..1		Value of extension ele-1: All FHIR elements must have a @value or children
valueCanonical			canonical(ActivityDefinition | PlanDefinition)
valueReference			Reference(ActivityDefinition | PlanDefinition)
valueUri			uri
triggeredBy		0..1	(Complex)	Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x]		1..1		Value of extension ele-1: All FHIR elements must have a @value or children
valueCanonical			canonical(ActivityDefinition | PlanDefinition)
valueReference			Reference(ActivityDefinition | PlanDefinition)
valueUri			uri
signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
source		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source"
value[x]		1..1	Reference(Device | Organization)	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..1	Identifier	Unique id for this set of answers ele-1: All FHIR elements must have a @value or children
questionnaire	SΣ	1..1	canonical(Adaptive Questionnaire) {c}	Form being answered ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. ele-1: All FHIR elements must have a @value or children
subject	SΣ	0..1	Reference(Resource)	The subject of the questions ele-1: All FHIR elements must have a @value or children
authored	SΣ	1..1	dateTime	Date the answers were gathered ele-1: All FHIR elements must have a @value or children
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers ele-1: All FHIR elements must have a @value or children
item	SC	0..*	BackboneElement	Groups and questions ele-1: All FHIR elements must have a @value or children qrs-1: Nested item can't be beneath both item and answer qrs-2: Repeated answers are combined in the answers array of a single item
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
ItemSignature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
linkId	S	1..1	string	Pointer to specific item from Questionnaire ele-1: All FHIR elements must have a @value or children
text	S	0..1	string	Name for group or question text ele-1: All FHIR elements must have a @value or children
answer	S	0..*	BackboneElement	The response(s) to the question ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
itemWeight		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
value[x]	S	0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. ele-1: All FHIR elements must have a @value or children
valueBoolean			boolean
valueDecimal			decimal
valueInteger			integer
valueDate			date
valueDateTime			dateTime
valueTime			time
valueString			string
valueUri			uri
valueAttachment			Attachment
valueCoding			Coding
valueQuantity			Quantity
valueReference			Reference(Resource)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions ele-1: All FHIR elements must have a @value or children
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponseCommon	Adaptive Questionnaire Response 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. sdcqr-3: Can either have source or source extension, but not both
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	S	1..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
adheresTo		0..*	(Complex)	Follows rules from URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
value[x]		1..1		Value of extension
valueCanonical			canonical(ActivityDefinition | PlanDefinition)
valueReference			Reference(ActivityDefinition | PlanDefinition)
valueUri			uri
triggeredBy		0..1	(Complex)	Created because of following URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
value[x]		1..1		Value of extension
valueCanonical			canonical(ActivityDefinition | PlanDefinition)
valueReference			Reference(ActivityDefinition | PlanDefinition)
valueUri			uri
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.
source		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source"
value[x]		1..1	Reference(Device | Organization)	Value of extension
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(Adaptive Questionnaire) {c}	Form being answered
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 qrs-1: Nested item can't be beneath both item and answer qrs-2: Repeated answers are combined in the answers array of a single item
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	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
itemWeight		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/itemWeight
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
valueDecimal			decimal
valueInteger			integer
valueDate			date
valueDateTime			dateTime
valueTime			time
valueString			string
valueUri			uri
valueAttachment			Attachment
valueCoding			Coding
valueQuantity			Quantity
valueReference			Reference(Resource)
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	URI
QuestionnaireResponse.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

This structure is derived from SDCQuestionnaireResponseCommon

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

• Adaptive Questionnaire (http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-adapt)

Maturity: 4

Other representations of profile: CSV, Excel, Schematron