R4 Ballot #1 (Mixed Normative/Trial use)

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Operation-questionnaire-populate.xml

FHIR Infrastructure Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Not linked to any defined compartments

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Operation Definition

<OperationDefinition xmlns="http://hl7.org/fhir">
  <id value="Questionnaire-populate"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2> Populate Questionnaire</h2> 
      <p> OPERATION: Populate Questionnaire</p> 
      <p> The official URL for this operation definition is: </p> 
      <pre> http://hl7.org/fhir/OperationDefinition/Questionnaire-populate</pre> 
      <div> 
        <p> Generates a 
          <a href="questionnaireresponse.html">QuestionnaireResponse</a>  instance  based on a specified 
          <a href="questionnaire.html">Questionnaire</a> , filling in answers to questions where possible based on information provided as part
           of the operation or already known by the server about the subject of the 
          <a href="questionnaire.html">Questionnaire</a> .  If the operation is not called at the instance level, one and only one of the identifier,
           questionnaire or questionnaireRef 'in' parameters must be provided. If called at the instance
           level, these parameters will be ignored.  The response will contain a 
          <a href="questionnaireresponse.html">QuestionnaireResponse</a>  instance based on the specified 
          <a href="questionnaire.html">Questionnaire</a>  and/or an 
          <a href="operationoutcome.html">OperationOutcome</a>  resource with errors or warnings.  The 
          <a href="questionnaireresponse.html">QuestionnaireResponse</a>  instance will be populated with an unanswered set of questions following the group and
           question structure of the specified 
          <a href="questionnaire.html">Questionnaire</a> .  If  
          <em> content</em>  parameters were specified or the 
          <em> local</em>  parameter was set to true, some of the questions may have answers filled in as well.
            In the case of repeating questions or groups, typically only one repetition will be provided
           unless answer values exist that would support populating multiple repetitions.  Population
           of the 
          <a href="questionnaireresponse.html">QuestionnaireResponse</a>  with appropriate data is dependent on the questions and/or groups in the 
          <a href="questionnaire.html">Questionnaire</a>  having metadata that allows the server to recognize the questions, e.g. through Questionnaire.item.
          definition or through use of the 
          <a href="conceptmap.html">ConceptMap</a>  resource.  Regardless of the mechanism used to link the questions in a questionnaire
           to a &quot;known&quot; mappable concept, solutions using this operation should ensure
           that the details of the question and associated linkage element are sufficiently similar
           as to safely allow auto-population; i.e. the question text and context must be sufficiently
           the same, the value set for the question must fall within the value set for the mapped
           element, the data types must be the same or convertible, etc.
        </p> 

      </div> 
      <p> URL: [base]/Questionnaire/$populate</p> 
      <p> URL: [base]/Questionnaire/[id]/$populate</p> 
      <p> Parameters</p> 
      <table class="grid">
        <tr> 
          <td> 
            <b> Use</b> 
          </td> 
          <td> 
            <b> Name</b> 
          </td> 
          <td> 
            <b> Cardinality</b> 
          </td> 
          <td> 
            <b> Type</b> 
          </td> 
          <td> 
            <b> Binding</b> 
          </td> 
          <td> 
            <b> Documentation</b> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> identifier</td> 
          <td> 0..1</td> 
          <td> uri</td> 
          <td/>  
          <td> 
            <div> 
              <p> A logical questionnaire identifier (i.e. ''Questionnaire.identifier''). The server must
                 know the questionnaire or be able to retrieve it from other known repositories.</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> questionnaire</td> 
          <td> 0..1</td> 
          <td> Questionnaire</td> 
          <td/>  
          <td> 
            <div> 
              <p> The 
                <a href="questionnaire.html">Questionnaire</a>  is provided directly as part of the request. Servers may choose not to accept questionnaires
                 in this fashion
              </p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> questionnaireRef</td> 
          <td> 0..1</td> 
          <td> Reference</td> 
          <td/>  
          <td> 
            <div> 
              <p> The 
                <a href="questionnaire.html">Questionnaire</a>  is provided as a resource reference. Servers may choose not to accept questionnaires
                 in this fashion or may fail if they cannot resolve or access the referenced questionnaire.
              </p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> subject</td> 
          <td> 1..1</td> 
          <td> Reference</td> 
          <td/>  
          <td> 
            <div> 
              <p> The resource that is to be the 
                <em> QuestionnaireResponse.subject</em> . The 
                <a href="questionnaireresponse.html">QuestionnaireResponse</a>  instance will reference the provided subject.  In addition, if the 
                <em> local</em>  parameter is set to true, server information about the specified subject will be used
                 to populate the instance.
              </p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> content</td> 
          <td> 0..*</td> 
          <td> Reference</td> 
          <td/>  
          <td> 
            <div> 
              <p> Resources containing information to be used to help populate the 
                <a href="questionnaireresponse.html">QuestionnaireResponse</a> .  These may be FHIR resources or may be binaries containing FHIR documents, CDA documents
                 or other source materials.  Servers might not support all possible source materials and
                 may ignore materials they do not recognize.  (They MAY provide warnings if ignoring submitted
                 resources.)
              </p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> local</td> 
          <td> 0..1</td> 
          <td> boolean</td> 
          <td/>  
          <td> 
            <div> 
              <p> If specified and set to 'true' (and the server is capable), the server should use what
                 resources and other knowledge it has about the referenced subject when pre-populating
                 answers to questions.</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> OUT</td> 
          <td> questionnaire</td> 
          <td> 1..1</td> 
          <td> QuestionnaireResponse</td> 
          <td/>  
          <td> 
            <div> 
              <p> The partially (or fully)-populated set of answers for the specified Questionnaire</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> OUT</td> 
          <td> issues</td> 
          <td> 0..1</td> 
          <td> OperationOutcome</td> 
          <td/>  
          <td> 
            <div> 
              <p> A list of hints and warnings about problems encountered while populating the questionnaire.
                 These might be show to the user as an advisory note. Note: if the questionnaire cannot
                 be populated at all, then the operation should fail, and an OperationOutcome is returned
                 directly with the failure, rather than using this parameter</p> 

            </div> 
          </td> 
        </tr> 
      </table> 
      <div> 
        <p> While it is theoretically possible for a 
          <a href="questionnaireresponse.html">QuestionnaireResponse</a>  instance to be completely auto-populated and submitted without human review, the intention
           of this transaction is merely to reduce redundant data entry.  A client 
          <strong> SHOULD</strong>  ensure that a human submitter has an opportunity to review the auto-populated answers
           to confirm correctness as well as to complete or expand on information provided by the
           auto-population process.  When creating an &quot;empty&quot; questionnaire, the general
           algorithm is to create a QuestionnaireResponse with one item for every item in the source
           Questionnaire, including items with &quot;enableWhen&quot;, &quot;display&quot; items,
           etc.  If a question has a default, the default answer should be populated.  And the QuestionnaireRes
          ponse should point back to the originating Questionnaire.  Repeating items will typically
           only include a single repetition.  Other extensions and/or elements may also be populated
           if the system is aware of appropriate values.  Complex form designs with conditional logic
           or tight constraints on cardinalities may be challenging to auto-populate.  A server MAY
           choose to traverse the questionnaire as if it were a human respondent, answering only
           those questions that are enabled based on previously answered questions.  However, doing
           so may result in minimal population.  Alternatively, systems may choose to populate all
           known answers, independent of dependencies and other constraints.  This may cause questions
           to be answered that should not be answered.  It will be up to the client to appropriately
           prune the final populated questionnaire once human review has taken place.  Invoking this
           operation with the ''content'' parameter may involve the disclosure of personally identifiable
           healthcare information to the system which is performing the population process.  No such
           disclosures should be made unless the system on which the operation is being invoked is
           a &quot;trusted&quot; system and appropriate agreements are in place to protect the confidentiality
           of any information shared with that system.
        </p> 

      </div> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="Trial Use"/> 
  </extension> 
  <url value="http://hl7.org/fhir/OperationDefinition/Questionnaire-populate"/> 
  <name value="Populate Questionnaire"/> 
  <status value="draft"/> 
  <kind value="operation"/> 
  <date value="2018-04-03T12:05:46+10:00"/> 
  <publisher value="HL7 (FHIR Project)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
      <value value="fhir@lists.hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="Generates a [QuestionnaireResponse](questionnaireresponse.html) instance  based on a specified
   [Questionnaire](questionnaire.html), filling in answers to questions where possible based
   on information provided as part of the operation or already known by the server about
   the subject of the [Questionnaire](questionnaire.html).  If the operation is not called
   at the instance level, one and only one of the identifier, questionnaire or questionnaireRef
   'in' parameters must be provided. If called at the instance level, these parameters will
   be ignored.  The response will contain a [QuestionnaireResponse](questionnaireresponse.html)
   instance based on the specified [Questionnaire](questionnaire.html) and/or an [OperationOutcome](ope
  rationoutcome.html) resource with errors or warnings.  The [QuestionnaireResponse](questionnairerespo
  nse.html) instance will be populated with an unanswered set of questions following the
   group and question structure of the specified [Questionnaire](questionnaire.html).  If
    *content* parameters were specified or the *local* parameter was set to true, some of
   the questions may have answers filled in as well.  In the case of repeating questions
   or groups, typically only one repetition will be provided unless answer values exist that
   would support populating multiple repetitions.  Population of the [QuestionnaireResponse](questionna
  ireresponse.html) with appropriate data is dependent on the questions and/or groups in
   the [Questionnaire](questionnaire.html) having metadata that allows the server to recognize
   the questions, e.g. through Questionnaire.item.definition or through use of the [ConceptMap](concept
  map.html) resource.  Regardless of the mechanism used to link the questions in a questionnaire
   to a &quot;known&quot; mappable concept, solutions using this operation should ensure
   that the details of the question and associated linkage element are sufficiently similar
   as to safely allow auto-population; i.e. the question text and context must be sufficiently
   the same, the value set for the question must fall within the value set for the mapped
   element, the data types must be the same or convertible, etc."/> 
  <code value="populate"/> 
  <comment value="While it is theoretically possible for a [QuestionnaireResponse](questionnaireresponse.html)
   instance to be completely auto-populated and submitted without human review, the intention
   of this transaction is merely to reduce redundant data entry.  A client **SHOULD** ensure
   that a human submitter has an opportunity to review the auto-populated answers to confirm
   correctness as well as to complete or expand on information provided by the auto-population
   process.  When creating an &quot;empty&quot; questionnaire, the general algorithm is to
   create a QuestionnaireResponse with one item for every item in the source Questionnaire,
   including items with &quot;enableWhen&quot;, &quot;display&quot; items, etc.  If a question
   has a default, the default answer should be populated.  And the QuestionnaireResponse
   should point back to the originating Questionnaire.  Repeating items will typically only
   include a single repetition.  Other extensions and/or elements may also be populated if
   the system is aware of appropriate values.  Complex form designs with conditional logic
   or tight constraints on cardinalities may be challenging to auto-populate.  A server MAY
   choose to traverse the questionnaire as if it were a human respondent, answering only
   those questions that are enabled based on previously answered questions.  However, doing
   so may result in minimal population.  Alternatively, systems may choose to populate all
   known answers, independent of dependencies and other constraints.  This may cause questions
   to be answered that should not be answered.  It will be up to the client to appropriately
   prune the final populated questionnaire once human review has taken place.  Invoking this
   operation with the ''content'' parameter may involve the disclosure of personally identifiable
   healthcare information to the system which is performing the population process.  No such
   disclosures should be made unless the system on which the operation is being invoked is
   a &quot;trusted&quot; system and appropriate agreements are in place to protect the confidentiality
   of any information shared with that system."/> 
  <resource value="Questionnaire"/> 
  <system value="false"/> 
  <type value="true"/> 
  <instance value="true"/> 
  <parameter> 
    <name value="identifier"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="A logical questionnaire identifier (i.e. ''Questionnaire.identifier''). The server must
     know the questionnaire or be able to retrieve it from other known repositories."/> 
    <type value="uri"/> 
  </parameter> 
  <parameter> 
    <name value="questionnaire"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The [Questionnaire](questionnaire.html) is provided directly as part of the request. Servers
     may choose not to accept questionnaires in this fashion"/> 
    <type value="Questionnaire"/> 
  </parameter> 
  <parameter> 
    <name value="questionnaireRef"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The [Questionnaire](questionnaire.html) is provided as a resource reference. Servers may
     choose not to accept questionnaires in this fashion or may fail if they cannot resolve
     or access the referenced questionnaire."/> 
    <type value="Reference"/> 
    <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/> 
  </parameter> 
  <parameter> 
    <name value="subject"/> 
    <use value="in"/> 
    <min value="1"/> 
    <max value="1"/> 
    <documentation value="The resource that is to be the *QuestionnaireResponse.subject*. The [QuestionnaireResponse](question
    naireresponse.html) instance will reference the provided subject.  In addition, if the
     *local* parameter is set to true, server information about the specified subject will
     be used to populate the instance."/> 
    <type value="Reference"/> 
  </parameter> 
  <parameter> 
    <name value="content"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="*"/> 
    <documentation value="Resources containing information to be used to help populate the [QuestionnaireResponse](questionnai
    reresponse.html).  These may be FHIR resources or may be binaries containing FHIR documents,
     CDA documents or other source materials.  Servers might not support all possible source
     materials and may ignore materials they do not recognize.  (They MAY provide warnings
     if ignoring submitted resources.)"/> 
    <type value="Reference"/> 
  </parameter> 
  <parameter> 
    <name value="local"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="If specified and set to 'true' (and the server is capable), the server should use what
     resources and other knowledge it has about the referenced subject when pre-populating
     answers to questions."/> 
    <type value="boolean"/> 
  </parameter> 
  <parameter> 
    <name value="questionnaire"/> 
    <use value="out"/> 
    <min value="1"/> 
    <max value="1"/> 
    <documentation value="The partially (or fully)-populated set of answers for the specified Questionnaire"/> 
    <type value="QuestionnaireResponse"/> 
  </parameter> 
  <parameter> 
    <name value="issues"/> 
    <use value="out"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="A list of hints and warnings about problems encountered while populating the questionnaire.
     These might be show to the user as an advisory note. Note: if the questionnaire cannot
     be populated at all, then the operation should fail, and an OperationOutcome is returned
     directly with the failure, rather than using this parameter"/> 
    <type value="OperationOutcome"/> 
  </parameter> 
</OperationDefinition> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.