STU3 Candidate

This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Detailed Descriptions for the elements in the QuestionnaireResponse resource.

QuestionnaireResponse
Definition

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 underlying questions.

Control1..1
Requirements

To support structured, hierarchical registration of data gathered using digital forms and other questionnaires.

Alternate NamesForm; QuestionnaireAnswers
QuestionnaireResponse.identifier
Definition

A business identifier assigned to a particular completed (or partially completed) questionnaire.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
Requirements

Used for tracking, registration and other business purposes.

Summarytrue
QuestionnaireResponse.basedOn
Definition

Identifies the order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse.

Control0..*
TypeReference(DiagnosticRequest | ReferralRequest | CarePlan)
Requirements

Supports traceability of authorization and confirmation of action on recommendations.

Alternate Namesorder
Summarytrue
QuestionnaireResponse.parent
Definition

Identifies a procedure or observation that this questionnaire was performed as part of the execution of.

Control0..*
TypeReference(Observation | Procedure)
Summarytrue
Comments

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.

QuestionnaireResponse.questionnaire
Definition

Indicates the Questionnaire resource that defines the form for which answers are being provided.

Control0..1
TypeReference(Questionnaire)
Requirements

Needed to allow editing of the questionnaire in a manner that enforces the constraints of the original form.

Alternate NamesForm
Summarytrue
QuestionnaireResponse.status
Definition

The lifecycle status of the questionnaire response as a whole.

Control1..1
Terminology BindingQuestionnaireResponseStatus (Required)
Typecode
Is Modifiertrue
Requirements

The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished. Questionnaire resources with just questions may serve as template forms, with the applicable publication statuses.

Summarytrue
QuestionnaireResponse.subject
Definition

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.

Control0..1
TypeReference(Any)
Requirements

The subject context must be known.

Alternate NamesPatient; Focus
Summarytrue
Comments

If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of that type.

QuestionnaireResponse.context
Definition

The encounter or episode of care with primary association to the questionnaire.

Control0..1
TypeReference(Encounter | EpisodeOfCare)
Summarytrue
Comments

A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.

QuestionnaireResponse.author
Definition

Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system.

Control0..1
TypeReference(Device | Practitioner | Patient | RelatedPerson)
Requirements

Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.

Alternate NamesLaboratory; Service; Practitioner; Department; Company; Performer
Summarytrue
Comments

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.

QuestionnaireResponse.authored
Definition

The date and/or time that this version of the questionnaire response was authored.

Control0..1
TypedateTime
Requirements

Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.

Alternate NamesDate Created; Date published; Date Issued; Date updated
Summarytrue
Comments

May be different from the update time of the resource itself, because that is the status of the collection and authoring. This element is optional to allow for systems that may not know the value, however it SHOULD be populated if possible.

QuestionnaireResponse.source
Definition

The person who answered the questions about the subject.

Control0..1
TypeReference(Patient | Practitioner | RelatedPerson)
Requirements

When answering questions about a subject that is minor, incapable of answering or an animal, another human source is used to answer the questions.

Summarytrue
Comments

If not specified, no inference can be made about who provided the data.

QuestionnaireResponse.item
Definition

Corresponds to a group or question item from the original questionnaire.

Control0..*
Comments

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).

InvariantsDefined on this element
qrs-1: Nested item can't be beneath both item and answer (expression : (answer.exists() and item.exists()).not(), xpath: not(exists(f:answer) and exists(f:item)))
QuestionnaireResponse.item.linkId
Definition

Identifies the item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

Control1..1
Typestring
Requirements

Items can repeat in the answers, so a direct 1..1 correspondence may not exist - requiring correspondence by identifier.

QuestionnaireResponse.item.definition
Definition

A reference to an ElementDefinition that provides the details for the item.

Control0..1
Typeuri
Requirements

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.

Comments

The ElementDefinition must be in a StructureDefinition or a DataElement, and must have a fragment identifier that identifies the specific data element by it's id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

QuestionnaireResponse.item.text
Definition

Text that is displayed above the contents of the group or as the text of the question being answered.

Control0..1
Typestring
Requirements

Allows the questionnaire response to be read without access to the questionnaire.

QuestionnaireResponse.item.subject
Definition

More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.

Control0..1
TypeReference(Any)
Requirements

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.

To DoHow does the questionnaire indicate where this is appropriate/necessary?
QuestionnaireResponse.item.answer
Definition

The respondent's answer(s) to the question.

Control0..*
Comments

The value is nested because we cannot have a repeating structure that has variable type.

QuestionnaireResponse.item.answer.value[x]
Definition

The answer (or one of the answers) provided by the respondent to the question.

Control0..1
Terminology BindingQuestionnaireAnswer:
Typeboolean|decimal|integer|date|dateTime|instant|time|string|uri|Attachment|Coding|Quantity|Reference(Any)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Requirements

Ability to retain a single-valued answer to a question.

Comments

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.

QuestionnaireResponse.item.answer.item
Definition

Nested groups and/or questions found within this particular answer.

Control0..*
TypeSee QuestionnaireResponse.item
Requirements

It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

QuestionnaireResponse.item.item
Definition

Questions or sub-groups nested beneath a question or group.

Control0..*
TypeSee QuestionnaireResponse.item
Requirements

Reports can consist of complex nested groups.