<status value="active"/> <experimental value="false"/> <date value="2026-03-17T16:05:13.1166819-05:00"/> <publisher value="FHIR Infrastructure"/> <contact> <name value="FHIR Infrastructure"/> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/fiwg"/> </telecom> </contact> <description value="This cross-version profile allows R5 QuestionnaireResponse content to be represented via FHIR STU3 QuestionnaireResponse resources."/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <fhirVersion value="3.0.2"/> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/w5"/> <name value="W5 Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="QuestionnaireResponse"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> <derivation value="constraint"/> <snapshot> <element id="QuestionnaireResponse"> <path value="QuestionnaireResponse"/> <short value="A structured set of questions and their answers"/> <definition value="A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to."/> <comment value="The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse."/> <alias value="Form"/> <alias value="QuestionnaireAnswers"/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-1"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> <expression value="contained.text.empty()"/> <xpath value="not(parent::f:contained and f:text)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/> <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/> <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[moodCode=EVN]"/> </mapping> <mapping> <identity value="w5"/> <map value="infrastructure.information"/> </mapping> </element> <element id="QuestionnaireResponse.id"> <path value="QuestionnaireResponse.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <isSummary value="true"/> </element> <element id="QuestionnaireResponse.meta"> <path value="QuestionnaireResponse.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <isSummary value="true"/> </element> <element id="QuestionnaireResponse.implicitRules"> <path value="QuestionnaireResponse.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="QuestionnaireResponse.language"> <path value="QuestionnaireResponse.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueReference> <reference value="http://hl7.org/fhir/ValueSet/all-languages|3.0.2"/> </valueReference> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="extensible"/> <description value="A human language."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/languages|3.0.2"/> </valueSetReference> </binding> </element> <element id="QuestionnaireResponse.text"> <path value="QuestionnaireResponse.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="QuestionnaireResponse.contained"> <path value="QuestionnaireResponse.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.extension"> <path value="QuestionnaireResponse.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.modifierExtension"> <path value="QuestionnaireResponse.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.identifier"> <path value="QuestionnaireResponse.identifier"/> <short value="Unique id for this set of answers"/> <definition value="A business identifier assigned to a particular completed (or partially completed) questionnaire."/> <requirements value="Used for tracking, registration and other business purposes."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> </element> <element id="QuestionnaireResponse.basedOn"> <path value="QuestionnaireResponse.basedOn"/> <short value="Request fulfilled by this QuestionnaireResponse"/> <definition value="The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse. For example, a ProcedureRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression."/> <requirements value="Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon."/> <alias value="order"/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=FLFS].target"/> </mapping> </element> <element id="QuestionnaireResponse.basedOn.id"> <path value="QuestionnaireResponse.basedOn.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.basedOn.extension"> <path value="QuestionnaireResponse.basedOn.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="QuestionnaireResponse.basedOn.extension:basedOn"> <path value="QuestionnaireResponse.basedOn.extension"/> <sliceName value="basedOn"/> <short value="R5: basedOn additional types"/> <definition value="R5: `QuestionnaireResponse.basedOn` additional types from child elements (display, identifier, reference, type)"/> <comment value="Element `QuestionnaireResponse.basedOn` is mapped to FHIR STU3 element `QuestionnaireResponse.basedOn` as `SourceIsBroaderThanTarget`. The mappings for `QuestionnaireResponse.basedOn` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.basedOn` with unmapped reference targets: CarePlan, ServiceRequest."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.basedOn.reference"> <path value="QuestionnaireResponse.basedOn.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.basedOn.identifier"> <path value="QuestionnaireResponse.basedOn.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="QuestionnaireResponse.basedOn.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="QuestionnaireResponse.basedOn.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.parent"> <path value="QuestionnaireResponse.parent"/> <short value="Part of this action"/> <definition value="A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of."/> <comment value="Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire. For relationships to referrals, and other types of requests, use basedOn."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.parent"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.parent.id"> <path value="QuestionnaireResponse.parent.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.parent.extension"> <path value="QuestionnaireResponse.parent.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="QuestionnaireResponse.parent.extension:partOf"> <path value="QuestionnaireResponse.parent.extension"/> <sliceName value="partOf"/> <short value="R5: Part of referenced event additional types"/> <definition value="R5: `QuestionnaireResponse.partOf` additional types from child elements (display, identifier, reference, type)"/> <comment value="Element `QuestionnaireResponse.partOf` is mapped to FHIR STU3 element `QuestionnaireResponse.parent` as `SourceIsBroaderThanTarget`. The mappings for `QuestionnaireResponse.partOf` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.partOf` with unmapped reference targets: Observation, Procedure. Not to be used to link an questionnaire response to an Encounter - use 'context' for that. Composition of questionnaire responses will be handled using the Assemble operation defined in the SDC IG. For relationships to referrals, and other types of requests, use basedOn."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.parent.reference"> <path value="QuestionnaireResponse.parent.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.parent.identifier"> <path value="QuestionnaireResponse.parent.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="QuestionnaireResponse.parent.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="QuestionnaireResponse.parent.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.questionnaire"> <path value="QuestionnaireResponse.questionnaire"/> <short value="Form being answered"/> <definition value="The Questionnaire that defines and organizes the questions for which answers are being provided."/> <comment value="If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.)."/> <requirements value="Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form."/> <alias value="Form"/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.questionnaire"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]"/> </mapping> </element> <element id="QuestionnaireResponse.questionnaire.id"> <path value="QuestionnaireResponse.questionnaire.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.questionnaire.extension"> <path value="QuestionnaireResponse.questionnaire.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="1"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="QuestionnaireResponse.questionnaire.extension:questionnaire"> <path value="QuestionnaireResponse.questionnaire.extension"/> <sliceName value="questionnaire"/> <short value="R5: Canonical URL of Questionnaire being answered additional types"/> <definition value="R5: `QuestionnaireResponse.questionnaire` additional types (canonical(http://hl7.org/fhir/StructureDefinition/Questionnaire)) additional types from child elements (value)"/> <comment value="Element `QuestionnaireResponse.questionnaire` is mapped to FHIR STU3 element `QuestionnaireResponse.questionnaire` as `SourceIsBroaderThanTarget`. The mappings for `QuestionnaireResponse.questionnaire` do not cover the following types: canonical. The mappings for `QuestionnaireResponse.questionnaire` do not cover the following types based on type expansion: value. If a QuestionnaireResponse references a Questionnaire that can be resolved, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.). It is possible to have a QuestionnaireResponse whose 'questionnaire' element does not resolve. It is also possible for the questionnaire element to not have a value but only extensions (e.g. conveying the title or identifier for the questionnaire). This may happen for legacy data. If there is no formally defined Questionnaire, it is undefined what the 'correct' values for the linkId elements should be and it is possible that linkIds might be inconsistent for QuestionnaireResponses for the same form if captured by distinct systems."/> <min value="1"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.questionnaire|0.1.0"/> </type> </element> <element id="QuestionnaireResponse.questionnaire.reference"> <path value="QuestionnaireResponse.questionnaire.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.questionnaire.identifier"> <path value="QuestionnaireResponse.questionnaire.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="QuestionnaireResponse.questionnaire.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="QuestionnaireResponse.questionnaire.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.status"> <path value="QuestionnaireResponse.status"/> <short value="in-progress | completed | amended | entered-in-error | stopped"/> <definition value="The position of the questionnaire response within its overall lifecycle."/> <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/> <requirements value="The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isModifier value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireResponseStatus"/> </extension> <strength value="required"/> <description value="Lifecycle status of the questionnaire response."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)"/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> </element> <element id="QuestionnaireResponse.subject"> <path value="QuestionnaireResponse.subject"/> <short value="The subject of the questions"/> <definition value="The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information."/> <comment value="If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types."/> <requirements value="Allows linking the answers to the individual the answers describe. May also affect access control."/> <alias value="Patient"/> <alias value="Focus"/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role"/> </mapping> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> </element> <element id="QuestionnaireResponse.subject.id"> <path value="QuestionnaireResponse.subject.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.subject.extension"> <path value="QuestionnaireResponse.subject.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="QuestionnaireResponse.subject.extension:subject"> <path value="QuestionnaireResponse.subject.extension"/> <sliceName value="subject"/> <short value="R5: subject additional types"/> <definition value="R5: `QuestionnaireResponse.subject` additional types from child elements (display, identifier, reference, type)"/> <comment value="Element `QuestionnaireResponse.subject` is mapped to FHIR STU3 element `QuestionnaireResponse.subject` as `SourceIsBroaderThanTarget`. The mappings for `QuestionnaireResponse.subject` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.subject` with unmapped reference targets: Resource. If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.subject.reference"> <path value="QuestionnaireResponse.subject.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.subject.identifier"> <path value="QuestionnaireResponse.subject.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="QuestionnaireResponse.subject.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="QuestionnaireResponse.subject.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.context"> <path value="QuestionnaireResponse.context"/> <short value="Encounter or Episode during which questionnaire was completed"/> <definition value="The encounter or episode of care with primary association to the questionnaire response."/> <comment value="A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter."/> <requirements value="Provides context for the information that was captured. May also affect access control."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.context"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"/> </mapping> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element id="QuestionnaireResponse.context.id"> <path value="QuestionnaireResponse.context.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.context.extension"> <path value="QuestionnaireResponse.context.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="QuestionnaireResponse.context.extension:encounter"> <path value="QuestionnaireResponse.context.extension"/> <sliceName value="encounter"/> <short value="R5: Encounter the questionnaire response is part of additional types"/> <definition value="R5: `QuestionnaireResponse.encounter` additional types from child elements (display, identifier, reference, type)"/> <comment value="Element `QuestionnaireResponse.encounter` is mapped to FHIR STU3 element `QuestionnaireResponse.context` as `SourceIsBroaderThanTarget`. The mappings for `QuestionnaireResponse.encounter` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.encounter` with unmapped reference targets: Encounter. This will typically be the encounter the questionnaire response was created during, but some questionnaire responses may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission forms). A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.context.reference"> <path value="QuestionnaireResponse.context.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.context.identifier"> <path value="QuestionnaireResponse.context.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="QuestionnaireResponse.context.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="QuestionnaireResponse.context.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.authored"> <path value="QuestionnaireResponse.authored"/> <short value="Date the answers were gathered"/> <definition value="The date and/or time that this set of answers were last changed."/> <comment value="May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured. This element is optional to allow for systems that may not know the value, however it SHOULD be populated if possible."/> <requirements value="Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers."/> <alias value="Date Created"/> <alias value="Date published"/> <alias value="Date Issued"/> <alias value="Date updated"/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.authored"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> <mapping> <identity value="w5"/> <map value="when.recorded"/> </mapping> </element> <element id="QuestionnaireResponse.author"> <path value="QuestionnaireResponse.author"/> <short value="Person who received and recorded the answers"/> <definition value="Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system."/> <comment value="Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated."/> <requirements value="Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers."/> <alias value="Laboratory"/> <alias value="Service"/> <alias value="Practitioner"/> <alias value="Department"/> <alias value="Company"/> <alias value="Performer"/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.author"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> <mapping> <identity value="w5"/> <map value="who.author"/> </mapping> </element> <element id="QuestionnaireResponse.author.id"> <path value="QuestionnaireResponse.author.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.author.extension"> <path value="QuestionnaireResponse.author.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="QuestionnaireResponse.author.extension:author"> <path value="QuestionnaireResponse.author.extension"/> <sliceName value="author"/> <short value="R5: The individual or device that received and recorded the answers"/> <definition value="R5: `QuestionnaireResponse.author`"/> <comment value="Element `QuestionnaireResponse.author` is mapped to FHIR STU3 element `QuestionnaireResponse.author` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.author` with unmapped reference targets: Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson. Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated. Device should only be used if it directly determined the answers, not if it was merely used as a capture tool to record answers provided by others. In the latter case, information about the physical device, software, etc. would be captured using Provenance."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.author.reference"> <path value="QuestionnaireResponse.author.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.author.identifier"> <path value="QuestionnaireResponse.author.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="QuestionnaireResponse.author.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="QuestionnaireResponse.author.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.source"> <path value="QuestionnaireResponse.source"/> <short value="The person who answered the questions"/> <definition value="The person who answered the questions about the subject."/> <comment value="If not specified, no inference can be made about who provided the data."/> <requirements value="When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.source"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=INF].role"/> </mapping> <mapping> <identity value="w5"/> <map value="who.source"/> </mapping> </element> <element id="QuestionnaireResponse.source.id"> <path value="QuestionnaireResponse.source.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.source.extension"> <path value="QuestionnaireResponse.source.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="QuestionnaireResponse.source.extension:source"> <path value="QuestionnaireResponse.source.extension"/> <sliceName value="source"/> <short value="R5: The individual or device that answered the questions"/> <definition value="R5: `QuestionnaireResponse.source`"/> <comment value="Element `QuestionnaireResponse.source` is mapped to FHIR STU3 element `QuestionnaireResponse.source` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.source` with unmapped reference targets: Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson. If not specified, no inference can be made about who provided the data. Device should only be used if it directly determined the answers, not if it was merely used as a capture tool to record answers provided by others. In the latter case, information about the physical device, software, etc. would be captured using Provenance."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.source.reference"> <path value="QuestionnaireResponse.source.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.source.identifier"> <path value="QuestionnaireResponse.source.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="QuestionnaireResponse.source.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="QuestionnaireResponse.source.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item"> <path value="QuestionnaireResponse.item"/> <short value="Groups and questions"/> <definition value="A group or question item from the original questionnaire for which answers are provided."/> <comment value="Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer)."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item.extension"> <path value="QuestionnaireResponse.item.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/STU3/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/STU3/structuredefinition.html) or a [DataElement](http://hl7.org/fhir/STU3/dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. There is no need for this element if the item pointed to by the linkId has a definition listed."/> <requirements value="A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item.subject"> <path value="QuestionnaireResponse.item.subject"/> <short value="The subject this group's answers are about"/> <definition value="More specific subject this section's answers are about, details the subject given in QuestionnaireResponse."/> <requirements value="Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <type> <code value="decimal"/> </type> <type> <code value="integer"/> </type> <type> <code value="date"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="time"/> </type> <type> <code value="string"/> </type> <type> <code value="uri"/> </type> <type> <code value="Attachment"/> </type> <type> <code value="Coding"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/questionnaire-answers|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.value[x].id"> <path value="QuestionnaireResponse.item.answer.value[x].id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.value[x].extension"> <path value="QuestionnaireResponse.item.answer.value[x].extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="QuestionnaireResponse.item.answer.value[x].extension:alternateReference"> <path value="QuestionnaireResponse.item.answer.value[x].extension"/> <sliceName value="alternateReference"/> <short value="R5: value"/> <definition value="R5: `QuestionnaireResponse.item.answer.value[x]`"/> <comment value="Element `QuestionnaireResponse.item.answer.value[x]` is mapped to FHIR STU3 element `QuestionnaireResponse.item.answer.value[x]` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.item.answer.value[x]` with unmapped reference targets: Resource. Source element `QuestionnaireResponse.item.answer.value[x]` has unmapped reference types. While the target element `QuestionnaireResponse.item.answer.value[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire. Note that a question is answered using one of the possible choices defined with answerOption, answerValueSet or some other means and the answer has a complex data type, all elements within the answer in the QuestionnaireResponse **SHOULD** match the elements defined corresponding choice value in the Questionnaire. However, it is possible that not all elements will be propagated. Also, some systems might use language translations resulting in different displays. Comparison of value to the values defined in the Questionnaire (whether by answerOption, answerValueSet or answerExpression) **SHALL NOT** pay attention to Coding.display, Reference.display, Quantity.unit unless those are the only elements present. As well, systems are not required to check for a match on any extensions (e.g. ordinal values, translations, etc.). Systems **MAY** enforce that if extensions such as ordinal values are present in both Questionnaire and QuestionnaireResponse, they match."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.item.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> </snapshot> <differential> <element id="QuestionnaireResponse"> <path value="QuestionnaireResponse"/> </element> <element id="QuestionnaireResponse.basedOn.extension"> <path value="QuestionnaireResponse.basedOn.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="QuestionnaireResponse.basedOn.extension:basedOn"> <path value="QuestionnaireResponse.basedOn.extension"/> <sliceName value="basedOn"/> <short value="R5: basedOn additional types"/> <definition value="R5: `QuestionnaireResponse.basedOn` additional types from child elements (display, identifier, reference, type)"/> <comment value="Element `QuestionnaireResponse.basedOn` is mapped to FHIR STU3 element `QuestionnaireResponse.basedOn` as `SourceIsBroaderThanTarget`. The mappings for `QuestionnaireResponse.basedOn` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.basedOn` with unmapped reference targets: CarePlan, ServiceRequest."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.parent.extension"> <path value="QuestionnaireResponse.parent.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="QuestionnaireResponse.parent.extension:partOf"> <path value="QuestionnaireResponse.parent.extension"/> <sliceName value="partOf"/> <short value="R5: Part of referenced event additional types"/> <definition value="R5: `QuestionnaireResponse.partOf` additional types from child elements (display, identifier, reference, type)"/> <comment value="Element `QuestionnaireResponse.partOf` is mapped to FHIR STU3 element `QuestionnaireResponse.parent` as `SourceIsBroaderThanTarget`. The mappings for `QuestionnaireResponse.partOf` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.partOf` with unmapped reference targets: Observation, Procedure. Not to be used to link an questionnaire response to an Encounter - use 'context' for that. Composition of questionnaire responses will be handled using the Assemble operation defined in the SDC IG. For relationships to referrals, and other types of requests, use basedOn."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.questionnaire.extension"> <path value="QuestionnaireResponse.questionnaire.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="1"/> <max value="*"/> </element> <element id="QuestionnaireResponse.questionnaire.extension:questionnaire"> <path value="QuestionnaireResponse.questionnaire.extension"/> <sliceName value="questionnaire"/> <short value="R5: Canonical URL of Questionnaire being answered additional types"/> <definition value="R5: `QuestionnaireResponse.questionnaire` additional types (canonical(http://hl7.org/fhir/StructureDefinition/Questionnaire)) additional types from child elements (value)"/> <comment value="Element `QuestionnaireResponse.questionnaire` is mapped to FHIR STU3 element `QuestionnaireResponse.questionnaire` as `SourceIsBroaderThanTarget`. The mappings for `QuestionnaireResponse.questionnaire` do not cover the following types: canonical. The mappings for `QuestionnaireResponse.questionnaire` do not cover the following types based on type expansion: value. If a QuestionnaireResponse references a Questionnaire that can be resolved, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.). It is possible to have a QuestionnaireResponse whose 'questionnaire' element does not resolve. It is also possible for the questionnaire element to not have a value but only extensions (e.g. conveying the title or identifier for the questionnaire). This may happen for legacy data. If there is no formally defined Questionnaire, it is undefined what the 'correct' values for the linkId elements should be and it is possible that linkIds might be inconsistent for QuestionnaireResponses for the same form if captured by distinct systems."/> <min value="1"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.questionnaire|0.1.0"/> </type> </element> <element id="QuestionnaireResponse.subject.extension"> <path value="QuestionnaireResponse.subject.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="QuestionnaireResponse.subject.extension:subject"> <path value="QuestionnaireResponse.subject.extension"/> <sliceName value="subject"/> <short value="R5: subject additional types"/> <definition value="R5: `QuestionnaireResponse.subject` additional types from child elements (display, identifier, reference, type)"/> <comment value="Element `QuestionnaireResponse.subject` is mapped to FHIR STU3 element `QuestionnaireResponse.subject` as `SourceIsBroaderThanTarget`. The mappings for `QuestionnaireResponse.subject` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.subject` with unmapped reference targets: Resource. If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.context.extension"> <path value="QuestionnaireResponse.context.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="QuestionnaireResponse.context.extension:encounter"> <path value="QuestionnaireResponse.context.extension"/> <sliceName value="encounter"/> <short value="R5: Encounter the questionnaire response is part of additional types"/> <definition value="R5: `QuestionnaireResponse.encounter` additional types from child elements (display, identifier, reference, type)"/> <comment value="Element `QuestionnaireResponse.encounter` is mapped to FHIR STU3 element `QuestionnaireResponse.context` as `SourceIsBroaderThanTarget`. The mappings for `QuestionnaireResponse.encounter` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.encounter` with unmapped reference targets: Encounter. This will typically be the encounter the questionnaire response was created during, but some questionnaire responses may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission forms). A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.author.extension"> <path value="QuestionnaireResponse.author.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="QuestionnaireResponse.author.extension:author"> <path value="QuestionnaireResponse.author.extension"/> <sliceName value="author"/> <short value="R5: The individual or device that received and recorded the answers"/> <definition value="R5: `QuestionnaireResponse.author`"/> <comment value="Element `QuestionnaireResponse.author` is mapped to FHIR STU3 element `QuestionnaireResponse.author` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.author` with unmapped reference targets: Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson. Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated. Device should only be used if it directly determined the answers, not if it was merely used as a capture tool to record answers provided by others. In the latter case, information about the physical device, software, etc. would be captured using Provenance."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.source.extension"> <path value="QuestionnaireResponse.source.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="QuestionnaireResponse.source.extension:source"> <path value="QuestionnaireResponse.source.extension"/> <sliceName value="source"/> <short value="R5: The individual or device that answered the questions"/> <definition value="R5: `QuestionnaireResponse.source`"/> <comment value="Element `QuestionnaireResponse.source` is mapped to FHIR STU3 element `QuestionnaireResponse.source` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.source` with unmapped reference targets: Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson. If not specified, no inference can be made about who provided the data. Device should only be used if it directly determined the answers, not if it was merely used as a capture tool to record answers provided by others. In the latter case, information about the physical device, software, etc. would be captured using Provenance."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="QuestionnaireResponse.item.answer.valueReference.extension"> <path value="QuestionnaireResponse.item.answer.valueReference.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="QuestionnaireResponse.item.answer.valueReference.extension:alternateReference"> <path value="QuestionnaireResponse.item.answer.valueReference.extension"/> <sliceName value="alternateReference"/> <short value="R5: value"/> <definition value="R5: `QuestionnaireResponse.item.answer.value[x]`"/> <comment value="Element `QuestionnaireResponse.item.answer.value[x]` is mapped to FHIR STU3 element `QuestionnaireResponse.item.answer.value[x]` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `QuestionnaireResponse.item.answer.value[x]` with unmapped reference targets: Resource. Source element `QuestionnaireResponse.item.answer.value[x]` has unmapped reference types. While the target element `QuestionnaireResponse.item.answer.value[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire. Note that a question is answered using one of the possible choices defined with answerOption, answerValueSet or some other means and the answer has a complex data type, all elements within the answer in the QuestionnaireResponse **SHOULD** match the elements defined corresponding choice value in the Questionnaire. However, it is possible that not all elements will be propagated. Also, some systems might use language translations resulting in different displays. Comparison of value to the values defined in the Questionnaire (whether by answerOption, answerValueSet or answerExpression) **SHALL NOT** pay attention to Coding.display, Reference.display, Quantity.unit unless those are the only elements present. As well, systems are not required to check for a match on any extensions (e.g. ordinal values, translations, etc.). Systems **MAY** enforce that if extensions such as ordinal values are present in both Questionnaire and QuestionnaireResponse, they match."/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition profile-QuestionnaireResponse

Name	Card.	Type	Description & Constraints
QuestionnaireResponse	0..*	QuestionnaireResponse	A structured set of questions and their answers
basedOn
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn	0..*	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: basedOn additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
parent
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:partOf	0..*	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: Part of referenced event additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
questionnaire
Slices for extension	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:questionnaire	1..1	uri	R5: Canonical URL of Questionnaire being answered additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.questionnaire
subject
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:subject	0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: subject additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
context
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:encounter	0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: Encounter the questionnaire response is part of additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
author
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:author	0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: The individual or device that received and recorded the answers URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
source
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:source	0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: The individual or device that answered the questions URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
item
answer
valueReference
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:alternateReference	0..*	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: value URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Documentation for this format