MediRecords FHIR Implementation Guide
1.4.0 - release


Resource Profile: MR QuestionnaireResponse

Defining URL:https://fhir.medirecords.com/StructureDefinition/mr-questionnaireresponse
Version:1.4.0
Name:MRQuestionnaireResponse
Title:MR QuestionnaireResponse
Status:Active as of 2024-06-28 01:25:00+0000
Definition:

MediRecords QuestionnaireResponse (For internal use only)

Source Resource:XML / JSON / Turtle

The official URL for this profile is:

https://fhir.medirecords.com/StructureDefinition/mr-questionnaireresponse

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from SDCQuestionnaireResponse

Summary

Mandatory: 7 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

This structure is derived from SDCQuestionnaireResponse

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse 0..*SDCQuestionnaireResponseSDC Questionnaire Response
... meta
.... versionId S0..1idIncremental version of this QuestionnaireResponse
... questionnaire
.... extension 1..*ExtensionExtension
.... extension:questionnaireDisplay 1..1DisplayNameTitle of the Questionnaire being answered
... status 1..1codein-progress | completed | amended
Binding: MediRecords QuestionnaireResponse Status ValueSet (required)
... author 1..1Reference(MR Practitioner | MR Patient)Practitioner or Patient who recorded the answers
... item 1..1BackboneElementroot Questionnaire item
.... text 1..1stringQuestionnaire Title
.... item 1..*Nested questionnaire response items

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C0..*SDCQuestionnaireResponseSDC Questionnaire Response
sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ0..1idIncremental version of this QuestionnaireResponse
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... signature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
... completionMode 0..1CodeableConceptE.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.


... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..1IdentifierUnique id for this set of answers
... basedOn Σ0..*Reference(CarePlan | ServiceRequest)Request fulfilled by this QuestionnaireResponse
... partOf Σ0..*Reference(Observation | Procedure)Part of this action
... questionnaire SΣ1..1canonical(SDCBaseQuestionnaire)Form being answered
.... id 0..1stringxml:id (or equivalent in JSON)
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... questionnaireDisplay S1..1stringTitle of the Questionnaire being answered
URL: http://hl7.org/fhir/StructureDefinition/display
.... value 0..1stringPrimitive value for canonical
... status ?!SΣ1..1codein-progress | completed | amended
Binding: MediRecords QuestionnaireResponse Status ValueSet (required)
... subject SΣ1..1Reference(MR Patient)Patient that is the subject of the questions
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... authored SΣ1..1dateTimeDate the answers were gathered
... author SΣ1..1Reference(MR Practitioner | MR Patient)Practitioner or Patient who recorded the answers
... source Σ0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)The person who answered the questions
... item SC1..1BackboneElementroot Questionnaire item
qrs-1: Nested item can't be beneath both item and answer
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... itemMedia 0..1AttachmentMedia to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
.... ItemSignature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... linkId S1..1stringPointer to specific item from Questionnaire
.... definition 0..1uriElementDefinition - details for the item
.... text S1..1stringQuestionnaire Title
.... answer S0..*BackboneElementThe response(s) to the question
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... itemAnswerMedia 0..1AttachmentAnswer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
..... ordinalValue 0..1decimalAssigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... value[x] S0..1Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueBooleanboolean
...... valueDatedate
...... valueDateTimedateTime
...... valueTimetime
...... valueDecimaldecimal
...... valueIntegerinteger
...... valueStringstring
...... valueCodingCoding
...... valueUriuri
...... valueQuantityQuantity
...... valueAttachmentAttachment
...... valueReferenceReference(Any)
..... item S0..*See item (QuestionnaireResponse)Nested groups and questions
.... item S1..*See item (QuestionnaireResponse)Nested questionnaire response items

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse 0..*SDCQuestionnaireResponseSDC Questionnaire Response
... meta Σ0..1MetaMetadata about the resource
.... versionId Σ0..1idIncremental version of this QuestionnaireResponse
... identifier Σ0..1IdentifierUnique id for this set of answers
... questionnaire Σ1..1canonical(SDCBaseQuestionnaire)Form being answered
.... questionnaireDisplay 1..1stringTitle of the Questionnaire being answered
URL: http://hl7.org/fhir/StructureDefinition/display
... subject Σ1..1Reference(MR Patient)Patient that is the subject of the questions
... authored Σ1..1dateTimeDate the answers were gathered
... author Σ1..1Reference(MR Practitioner | MR Patient)Practitioner or Patient who recorded the answers
... item C1..1BackboneElementroot Questionnaire item
qrs-1: Nested item can't be beneath both item and answer
.... linkId 1..1stringPointer to specific item from Questionnaire
.... text 1..1stringQuestionnaire Title
.... answer 0..*BackboneElementThe response(s) to the question
..... value[x] 0..1Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueBooleanboolean
...... valueDatedate
...... valueDateTimedateTime
...... valueTimetime
...... valueDecimaldecimal
...... valueIntegerinteger
...... valueStringstring
...... valueCodingCoding
...... valueUriuri
...... valueQuantityQuantity
...... valueAttachmentAttachment
...... valueReferenceReference(Any)
..... item 0..*See item (QuestionnaireResponse)Nested groups and questions
.... item 1..*See item (QuestionnaireResponse)Nested questionnaire response items

doco Documentation for this format

This structure is derived from SDCQuestionnaireResponse

Summary

Mandatory: 7 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from SDCQuestionnaireResponse

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse 0..*SDCQuestionnaireResponseSDC Questionnaire Response
... meta
.... versionId S0..1idIncremental version of this QuestionnaireResponse
... questionnaire
.... extension 1..*ExtensionExtension
.... extension:questionnaireDisplay 1..1DisplayNameTitle of the Questionnaire being answered
... status 1..1codein-progress | completed | amended
Binding: MediRecords QuestionnaireResponse Status ValueSet (required)
... author 1..1Reference(MR Practitioner | MR Patient)Practitioner or Patient who recorded the answers
... item 1..1BackboneElementroot Questionnaire item
.... text 1..1stringQuestionnaire Title
.... item 1..*Nested questionnaire response items

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C0..*SDCQuestionnaireResponseSDC Questionnaire Response
sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ0..1idIncremental version of this QuestionnaireResponse
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... signature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
... completionMode 0..1CodeableConceptE.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.


... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..1IdentifierUnique id for this set of answers
... basedOn Σ0..*Reference(CarePlan | ServiceRequest)Request fulfilled by this QuestionnaireResponse
... partOf Σ0..*Reference(Observation | Procedure)Part of this action
... questionnaire SΣ1..1canonical(SDCBaseQuestionnaire)Form being answered
.... id 0..1stringxml:id (or equivalent in JSON)
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... questionnaireDisplay S1..1stringTitle of the Questionnaire being answered
URL: http://hl7.org/fhir/StructureDefinition/display
.... value 0..1stringPrimitive value for canonical
... status ?!SΣ1..1codein-progress | completed | amended
Binding: MediRecords QuestionnaireResponse Status ValueSet (required)
... subject SΣ1..1Reference(MR Patient)Patient that is the subject of the questions
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... authored SΣ1..1dateTimeDate the answers were gathered
... author SΣ1..1Reference(MR Practitioner | MR Patient)Practitioner or Patient who recorded the answers
... source Σ0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)The person who answered the questions
... item SC1..1BackboneElementroot Questionnaire item
qrs-1: Nested item can't be beneath both item and answer
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... itemMedia 0..1AttachmentMedia to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
.... ItemSignature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... linkId S1..1stringPointer to specific item from Questionnaire
.... definition 0..1uriElementDefinition - details for the item
.... text S1..1stringQuestionnaire Title
.... answer S0..*BackboneElementThe response(s) to the question
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... itemAnswerMedia 0..1AttachmentAnswer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
..... ordinalValue 0..1decimalAssigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... value[x] S0..1Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueBooleanboolean
...... valueDatedate
...... valueDateTimedateTime
...... valueTimetime
...... valueDecimaldecimal
...... valueIntegerinteger
...... valueStringstring
...... valueCodingCoding
...... valueUriuri
...... valueQuantityQuantity
...... valueAttachmentAttachment
...... valueReferenceReference(Any)
..... item S0..*See item (QuestionnaireResponse)Nested groups and questions
.... item S1..*See item (QuestionnaireResponse)Nested questionnaire response items

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
QuestionnaireResponse.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
QuestionnaireResponse.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
QuestionnaireResponse.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
QuestionnaireResponse.statusrequiredMRQuestionnaireRespStatusValueSet
https://fhir.medirecords.com/ValueSet/mr-questionnaire-resp-status-code
from this IG
QuestionnaireResponse.item.answer.value[x]exampleQuestionnaireAnswerCodes (a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/questionnaire-answers
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorQuestionnaireResponseIf 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-4errorQuestionnaireResponseIf 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-5errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceQuestionnaireResponseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qrs-1errorQuestionnaireResponse.itemNested item can't be beneath both item and answer
: (answer.exists() and item.exists()).not()
sdcqr-1best practiceQuestionnaireResponseSubject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
: subject.exists()
sdcqr-2best practiceQuestionnaireResponseWhen 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()