QI-Core Implementation Guide
7.0.0 - STU 7
QI-Core Implementation Guide
7.0.0 - STU 7
This page is part of the Quality Improvement Core Framework (v7.0.0: STU7 (v7.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-questionnaireresponse | Version: 7.0.0 | |||
| Standards status: Trial-use | Maturity Level: 4 | Computable Name: QICoreQuestionnaireResponse | ||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
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The QI-Core QuestionnaireResponse Profile is based upon the US Core QuestionnaireResponse Profile and sets minimum expectations for the QuestionnaireResponse resource to record, search, and fetch retrieve captures the responses to form/survey and defines the core set of elements and extensions for quality rule and measure authors.
| PHQ-9 QuestionnaireResponse Example |
Usages:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  QuestionnaireResponse |
C | 0..* | USCoreQuestionnaireResponseProfile | US Core Profile based on SDC QuestionnaireResponse Constraints: sdcqr-1, sdcqr-2 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
Content/Rules for all slices | |||
   extension:signature |
0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature | |
 extension:completionMode |
0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed. | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
SΣ | 0..1 | Identifier | Unique id for this set of answers |
| questionnaire |
SΣ | 1..1 | canonical(SDCBaseQuestionnaire) | (QI) Form being answered |
 Slices for extension |
Content/Rules for all slices | |||
 extension:questionnaireDisplay |
S | 0..1 | string | Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display |
| extension:url |
S | 0..1 | uri | The location where a non-FHIR questionnaire/survey form can be found. URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri |
| status |
?!SΣ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. |
 subject |
SΣ | 1..1 | Reference(QICore Patient) | (QI) The subject of the questions |
| authored |
SΣ | 1..1 | dateTime | Date the answers were gathered |
| author |
SΣ | 0..1 | Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile) | (QI) Person who received and recorded the answers |
| item |
SC | 0..* | BackboneElement | (QI) Groups and questions Constraints: qrs-1 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:itemMedia |
0..1 | Attachment | Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia | |
| extension:ItemSignature |
0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| linkId |
S | 1..1 | string | (QI) Pointer to specific item from Questionnaire |
| text |
S | 0..1 | string | Name for group or question text |
| answer |
S | 0..* | BackboneElement | The response(s) to the question |
| Slices for extension |
Content/Rules for all slices | |||
| extension:itemAnswerMedia |
0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia | |
| extension:ordinalValue |
0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
 value[x] |
S | 0..1 | (QI) Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. | |
| valueCoding |
Coding S | |||
| valueString |
string S | |||
| valueDecimal |
decimal S | |||
| valueDate |
date | |||
| valueDateTime |
dateTime | |||
| valueInteger |
integer | |||
 valueQuantity |
Quantity | |||
 item |
S | 0..* | See item (QuestionnaireResponse) | Nested groups and questions |
| item |
S | 0..* | See item (QuestionnaireResponse) | Nested questionnaire response items |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| QuestionnaireResponse.status | required | QuestionnaireResponseStatushttp://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1From the FHIR Standard | |
| QuestionnaireResponse.item.answer.value[x] | example | QuestionnaireAnswerCodes(a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/questionnaire-answersFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer : (answer.exists() and item.exists()).not() | |
| sdcqr-1 | best practice | QuestionnaireResponse | Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. : subject.exists() | |
| sdcqr-2 | best practice | QuestionnaireResponse | When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. : (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() |
This structure is derived from USCoreQuestionnaireResponseProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| QuestionnaireResponse |
USCoreQuestionnaireResponseProfile | |||
| questionnaire |
1..1 | canonical(SDCBaseQuestionnaire) | (QI) Form being answered | |
| subject |
1..1 | Reference(QICore Patient) | (QI) The subject of the questions | |
| author |
0..1 | Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile) | (QI) Person who received and recorded the answers | |
| item |
0..* | BackboneElement | (QI) Groups and questions | |
| linkId |
1..1 | string | (QI) Pointer to specific item from Questionnaire | |
| answer |
||||
| value[x] |
0..1 | (QI) Single-valued answer to the question | ||
| valueCoding |
Coding | |||
| valueString |
string | |||
| valueDecimal |
decimal | |||
| valueDate |
date | |||
| valueDateTime |
dateTime | |||
| valueInteger |
integer | |||
| valueQuantity |
Quantity | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| QuestionnaireResponse |
C | 0..* | USCoreQuestionnaireResponseProfile | US Core Profile based on SDC QuestionnaireResponse Constraints: sdcqr-1, sdcqr-2 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:signature |
0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature | |||||
| extension:completionMode |
0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed. | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 0..1 | Identifier | Unique id for this set of answers | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | Request fulfilled by this QuestionnaireResponse | ||||
| partOf |
Σ | 0..* | Reference(Observation | Procedure) | Part of this action | ||||
| questionnaire |
SΣ | 1..1 | canonical(SDCBaseQuestionnaire) | (QI) Form being answered | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:questionnaireDisplay |
S | 0..1 | string | Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display | ||||
| extension:url |
S | 0..1 | uri | The location where a non-FHIR questionnaire/survey form can be found. URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri | ||||
| value |
0..1 | string | Primitive value for canonical | |||||
| status |
?!SΣ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. | ||||
| subject |
SΣ | 1..1 | Reference(QICore Patient) | (QI) The subject of the questions | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| authored |
SΣ | 1..1 | dateTime | Date the answers were gathered | ||||
| author |
SΣ | 0..1 | Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile) | (QI) Person who received and recorded the answers | ||||
| source |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions | ||||
| item |
SC | 0..* | BackboneElement | (QI) Groups and questions Constraints: qrs-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:itemMedia |
0..1 | Attachment | Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia | |||||
| extension:ItemSignature |
0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| linkId |
S | 1..1 | string | (QI) Pointer to specific item from Questionnaire | ||||
| definition |
0..1 | uri | ElementDefinition - details for the item | |||||
| text |
S | 0..1 | string | Name for group or question text | ||||
| answer |
S | 0..* | BackboneElement | The response(s) to the question | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:itemAnswerMedia |
0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia | |||||
| extension:ordinalValue |
0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| value[x] |
S | 0..1 | (QI) Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. | |||||
| valueCoding |
Coding S | |||||||
| valueString |
string S | |||||||
| valueDecimal |
decimal S | |||||||
| valueDate |
date | |||||||
| valueDateTime |
dateTime | |||||||
| valueInteger |
integer | |||||||
| valueQuantity |
Quantity | |||||||
| item |
S | 0..* | See item (QuestionnaireResponse) | Nested groups and questions | ||||
| item |
S | 0..* | See item (QuestionnaireResponse) | Nested questionnaire response items | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| QuestionnaireResponse.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| QuestionnaireResponse.status | required | QuestionnaireResponseStatushttp://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1From the FHIR Standard | ||||
| QuestionnaireResponse.item.answer.value[x] | example | QuestionnaireAnswerCodes(a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/questionnaire-answersFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer : (answer.exists() and item.exists()).not() | |
| sdcqr-1 | best practice | QuestionnaireResponse | Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. : subject.exists() | |
| sdcqr-2 | best practice | QuestionnaireResponse | When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. : (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() |
This structure is derived from USCoreQuestionnaireResponseProfile
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Maturity: 4
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| QuestionnaireResponse |
C | 0..* | USCoreQuestionnaireResponseProfile | US Core Profile based on SDC QuestionnaireResponse Constraints: sdcqr-1, sdcqr-2 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| extension:signature |
0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature | |
| extension:completionMode |
0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed. | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
SΣ | 0..1 | Identifier | Unique id for this set of answers |
| questionnaire |
SΣ | 1..1 | canonical(SDCBaseQuestionnaire) | (QI) Form being answered |
| Slices for extension |
Content/Rules for all slices | |||
| extension:questionnaireDisplay |
S | 0..1 | string | Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display |
| extension:url |
S | 0..1 | uri | The location where a non-FHIR questionnaire/survey form can be found. URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri |
| status |
?!SΣ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. |
| subject |
SΣ | 1..1 | Reference(QICore Patient) | (QI) The subject of the questions |
| authored |
SΣ | 1..1 | dateTime | Date the answers were gathered |
| author |
SΣ | 0..1 | Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile) | (QI) Person who received and recorded the answers |
| item |
SC | 0..* | BackboneElement | (QI) Groups and questions Constraints: qrs-1 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:itemMedia |
0..1 | Attachment | Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia | |
| extension:ItemSignature |
0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| linkId |
S | 1..1 | string | (QI) Pointer to specific item from Questionnaire |
| text |
S | 0..1 | string | Name for group or question text |
| answer |
S | 0..* | BackboneElement | The response(s) to the question |
| Slices for extension |
Content/Rules for all slices | |||
| extension:itemAnswerMedia |
0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia | |
| extension:ordinalValue |
0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| value[x] |
S | 0..1 | (QI) Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. | |
| valueCoding |
Coding S | |||
| valueString |
string S | |||
| valueDecimal |
decimal S | |||
| valueDate |
date | |||
| valueDateTime |
dateTime | |||
| valueInteger |
integer | |||
| valueQuantity |
Quantity | |||
| item |
S | 0..* | See item (QuestionnaireResponse) | Nested groups and questions |
| item |
S | 0..* | See item (QuestionnaireResponse) | Nested questionnaire response items |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| QuestionnaireResponse.status | required | QuestionnaireResponseStatushttp://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1From the FHIR Standard | |
| QuestionnaireResponse.item.answer.value[x] | example | QuestionnaireAnswerCodes(a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/questionnaire-answersFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer : (answer.exists() and item.exists()).not() | |
| sdcqr-1 | best practice | QuestionnaireResponse | Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. : subject.exists() | |
| sdcqr-2 | best practice | QuestionnaireResponse | When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. : (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() |
Differential View
This structure is derived from USCoreQuestionnaireResponseProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| QuestionnaireResponse |
USCoreQuestionnaireResponseProfile | |||
| questionnaire |
1..1 | canonical(SDCBaseQuestionnaire) | (QI) Form being answered | |
| subject |
1..1 | Reference(QICore Patient) | (QI) The subject of the questions | |
| author |
0..1 | Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile) | (QI) Person who received and recorded the answers | |
| item |
0..* | BackboneElement | (QI) Groups and questions | |
| linkId |
1..1 | string | (QI) Pointer to specific item from Questionnaire | |
| answer |
||||
| value[x] |
0..1 | (QI) Single-valued answer to the question | ||
| valueCoding |
Coding | |||
| valueString |
string | |||
| valueDecimal |
decimal | |||
| valueDate |
date | |||
| valueDateTime |
dateTime | |||
| valueInteger |
integer | |||
| valueQuantity |
Quantity | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| QuestionnaireResponse |
C | 0..* | USCoreQuestionnaireResponseProfile | US Core Profile based on SDC QuestionnaireResponse Constraints: sdcqr-1, sdcqr-2 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:signature |
0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature | |||||
| extension:completionMode |
0..1 | CodeableConcept | E.g. Verbal, written, electronic URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed. | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 0..1 | Identifier | Unique id for this set of answers | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | Request fulfilled by this QuestionnaireResponse | ||||
| partOf |
Σ | 0..* | Reference(Observation | Procedure) | Part of this action | ||||
| questionnaire |
SΣ | 1..1 | canonical(SDCBaseQuestionnaire) | (QI) Form being answered | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:questionnaireDisplay |
S | 0..1 | string | Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display | ||||
| extension:url |
S | 0..1 | uri | The location where a non-FHIR questionnaire/survey form can be found. URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri | ||||
| value |
0..1 | string | Primitive value for canonical | |||||
| status |
?!SΣ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. | ||||
| subject |
SΣ | 1..1 | Reference(QICore Patient) | (QI) The subject of the questions | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| authored |
SΣ | 1..1 | dateTime | Date the answers were gathered | ||||
| author |
SΣ | 0..1 | Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile) | (QI) Person who received and recorded the answers | ||||
| source |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions | ||||
| item |
SC | 0..* | BackboneElement | (QI) Groups and questions Constraints: qrs-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:itemMedia |
0..1 | Attachment | Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia | |||||
| extension:ItemSignature |
0..* | Signature | A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| linkId |
S | 1..1 | string | (QI) Pointer to specific item from Questionnaire | ||||
| definition |
0..1 | uri | ElementDefinition - details for the item | |||||
| text |
S | 0..1 | string | Name for group or question text | ||||
| answer |
S | 0..* | BackboneElement | The response(s) to the question | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:itemAnswerMedia |
0..1 | Attachment | Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia | |||||
| extension:ordinalValue |
0..1 | decimal | Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| value[x] |
S | 0..1 | (QI) Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. | |||||
| valueCoding |
Coding S | |||||||
| valueString |
string S | |||||||
| valueDecimal |
decimal S | |||||||
| valueDate |
date | |||||||
| valueDateTime |
dateTime | |||||||
| valueInteger |
integer | |||||||
| valueQuantity |
Quantity | |||||||
| item |
S | 0..* | See item (QuestionnaireResponse) | Nested groups and questions | ||||
| item |
S | 0..* | See item (QuestionnaireResponse) | Nested questionnaire response items | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| QuestionnaireResponse.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| QuestionnaireResponse.status | required | QuestionnaireResponseStatushttp://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1From the FHIR Standard | ||||
| QuestionnaireResponse.item.answer.value[x] | example | QuestionnaireAnswerCodes(a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/questionnaire-answersFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer : (answer.exists() and item.exists()).not() | |
| sdcqr-1 | best practice | QuestionnaireResponse | Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. : subject.exists() | |
| sdcqr-2 | best practice | QuestionnaireResponse | When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. : (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() |
This structure is derived from USCoreQuestionnaireResponseProfile
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Maturity: 4
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.qicore#7.0.0 based on FHIR 4.0.1. Generated 2025-06-18
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