MediRecords FHIR Implementation Guide
1.4.1 - release


Resource Profile: MR QuestionnaireResponse

Defining URL:https://fhir.medirecords.com/StructureDefinition/mr-questionnaireresponse
Version:1.4.1
Name:MRQuestionnaireResponse
Title:MR QuestionnaireResponse
Status:Active as of 2025-02-03 04:29:41+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: 5 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

This structure is derived from SDCQuestionnaireResponse

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C 0..* SDCQuestionnaireResponse SDC Questionnaire Response
inv-mr-questionnaire-resp-root-item-has-children-01: Medirecords QuestionnaireResponse root item must have child item
inv-mr-questionnaire-resp-root-item-text-01: Medirecords QuestionnaireResponse root item must have non empty text
... meta
.... versionId S 0..1 id Incremental version of this QuestionnaireResponse
... questionnaire
.... extension 1..* Extension Extension
.... Slices for extension Content/Rules for all slices
..... extension:questionnaireDisplay 1..1 DisplayName(5.1.0) Title of the Questionnaire being answered
... status 1..1 code in-progress | completed | amended
Binding: MediRecords QuestionnaireResponse Status ValueSet (required)
... author 1..1 Reference(MR Practitioner | MR Patient) Practitioner or Patient who recorded the answers
... item 1..1 BackboneElement root Questionnaire item
.... text 0..1 string Questionnaire Title

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C 0..* SDCQuestionnaireResponse SDC 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.
inv-mr-questionnaire-resp-root-item-has-children-01: Medirecords QuestionnaireResponse root item must have child item
inv-mr-questionnaire-resp-root-item-text-01: Medirecords QuestionnaireResponse root item must have non empty text
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ 0..1 id Incremental version of this QuestionnaireResponse
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding Tags 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 ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... 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) Form being answered
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... questionnaireDisplay S 1..1 string Title of the Questionnaire being answered
URL: http://hl7.org/fhir/StructureDefinition/display
.... value 0..1 string Primitive value for canonical
... status ?!SΣ 1..1 code in-progress | completed | amended
Binding: MediRecords QuestionnaireResponse Status ValueSet (required)
... subject SΣ 1..1 Reference(MR Patient) Patient that is 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 1..1 Reference(MR Practitioner | MR Patient) Practitioner or Patient who recorded the answers
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) The person who answered the questions
... item SC 1..1 BackboneElement root Questionnaire item
qrs-1: Nested item can't be beneath both item and answer
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... 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 Pointer to specific item from Questionnaire
.... definition 0..1 uri ElementDefinition - details for the item
.... text S 0..1 string Questionnaire Title
.... 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
...... itemAnswerMedia 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... 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 Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueBoolean boolean
...... valueDate date
...... valueDateTime dateTime
...... valueTime time
...... valueDecimal decimal
...... valueInteger integer
...... valueString string
...... valueCoding Coding
...... valueUri uri
...... valueQuantity Quantity
...... valueAttachment Attachment
...... valueReference Reference(Any)
..... item S 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item S 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse 0..* SDCQuestionnaireResponse SDC Questionnaire Response
... meta Σ 0..1 Meta Metadata about the resource
.... versionId Σ 0..1 id Incremental version of this QuestionnaireResponse
... identifier Σ 0..1 Identifier Unique id for this set of answers
... questionnaire Σ 1..1 canonical(SDCBaseQuestionnaire) Form being answered
.... Slices for extension Content/Rules for all slices
..... questionnaireDisplay 1..1 string Title of the Questionnaire being answered
URL: http://hl7.org/fhir/StructureDefinition/display
... subject Σ 1..1 Reference(MR Patient) Patient that is the subject of the questions
... authored Σ 1..1 dateTime Date the answers were gathered
... author Σ 1..1 Reference(MR Practitioner | MR Patient) Practitioner or Patient who recorded the answers
... item C 1..1 BackboneElement root Questionnaire item
qrs-1: Nested item can't be beneath both item and answer
.... linkId 1..1 string Pointer to specific item from Questionnaire
.... text 0..1 string Questionnaire Title
.... answer 0..* BackboneElement The response(s) to the question
..... value[x] 0..1 Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueBoolean boolean
...... valueDate date
...... valueDateTime dateTime
...... valueTime time
...... valueDecimal decimal
...... valueInteger integer
...... valueString string
...... valueCoding Coding
...... valueUri uri
...... valueQuantity Quantity
...... valueAttachment Attachment
...... valueReference Reference(Any)
..... item 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format

This structure is derived from SDCQuestionnaireResponse

Summary

Mandatory: 5 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 C 0..* SDCQuestionnaireResponse SDC Questionnaire Response
inv-mr-questionnaire-resp-root-item-has-children-01: Medirecords QuestionnaireResponse root item must have child item
inv-mr-questionnaire-resp-root-item-text-01: Medirecords QuestionnaireResponse root item must have non empty text
... meta
.... versionId S 0..1 id Incremental version of this QuestionnaireResponse
... questionnaire
.... extension 1..* Extension Extension
.... Slices for extension Content/Rules for all slices
..... extension:questionnaireDisplay 1..1 DisplayName(5.1.0) Title of the Questionnaire being answered
... status 1..1 code in-progress | completed | amended
Binding: MediRecords QuestionnaireResponse Status ValueSet (required)
... author 1..1 Reference(MR Practitioner | MR Patient) Practitioner or Patient who recorded the answers
... item 1..1 BackboneElement root Questionnaire item
.... text 0..1 string Questionnaire Title

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C 0..* SDCQuestionnaireResponse SDC 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.
inv-mr-questionnaire-resp-root-item-has-children-01: Medirecords QuestionnaireResponse root item must have child item
inv-mr-questionnaire-resp-root-item-text-01: Medirecords QuestionnaireResponse root item must have non empty text
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ 0..1 id Incremental version of this QuestionnaireResponse
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding Tags 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 ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... 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) Form being answered
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... questionnaireDisplay S 1..1 string Title of the Questionnaire being answered
URL: http://hl7.org/fhir/StructureDefinition/display
.... value 0..1 string Primitive value for canonical
... status ?!SΣ 1..1 code in-progress | completed | amended
Binding: MediRecords QuestionnaireResponse Status ValueSet (required)
... subject SΣ 1..1 Reference(MR Patient) Patient that is 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 1..1 Reference(MR Practitioner | MR Patient) Practitioner or Patient who recorded the answers
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) The person who answered the questions
... item SC 1..1 BackboneElement root Questionnaire item
qrs-1: Nested item can't be beneath both item and answer
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... 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 Pointer to specific item from Questionnaire
.... definition 0..1 uri ElementDefinition - details for the item
.... text S 0..1 string Questionnaire Title
.... 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
...... itemAnswerMedia 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... 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 Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueBoolean boolean
...... valueDate date
...... valueDateTime dateTime
...... valueTime time
...... valueDecimal decimal
...... valueInteger integer
...... valueString string
...... valueCoding Coding
...... valueUri uri
...... valueQuantity Quantity
...... valueAttachment Attachment
...... valueReference Reference(Any)
..... item S 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item S 0..* 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
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
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()
inv-mr-questionnaire-resp-root-item-has-children-01errorQuestionnaireResponseMedirecords QuestionnaireResponse root item must have child item
: QuestionnaireResponse.item[0].exists() implies (QuestionnaireResponse.item[0].item[0].exists())
inv-mr-questionnaire-resp-root-item-text-01errorQuestionnaireResponseMedirecords QuestionnaireResponse root item must have non empty text
: QuestionnaireResponse.item[0].exists() implies (QuestionnaireResponse.item[0].text.exists() and QuestionnaireResponse.item[0].text.trim().length() > 0)
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()