Finnish PHR QuestionnaireResponse Profile

Finnish PHR profile for FHIR® QuestionnaireResponse. A QuestionnaireResponse provides answers to a set of questions filled when responding to a questionnaire.

This profile only defines the structures used in questionnaire responses, not the actual content of the questionnaire response. The actual content of the QuestionnaireResponse is based on the Questionnaire resource it refers to. All the QuestionnaireResponses stored in Kanta PHR must follow these structures and profiling done to the elements of the resource.

A full list of the extensions, constraints and a structured definition of this profile can be found in Simplifier. There are also different views of the profile (details, mappings, table, XML, JSON).

Mandatory elements for Finnish PHR Questionnaire Response

Mandatory elements table for Finnish PHR Questionnaire profile
Content Name in structure Description / Type of information
Language language Language used in the questionnaire response stored in Kanta PHR.
Language has to be chosen from the FHIR languages ValueSet.
Narrative text A text summary of the questionnaire response.
SHALL include all content for a human to understand the essential clinical and business information of the questionnaire response.
Unique identifier identifier

One globally unique identifier SHALL be provided for the QuestionnaireResponse.

This identifier may be used to uniquely identify the questionnaire response if the application doesn't receive an id for the questionnaire response provided by Kanta PHR.

Questionnaire answered questionnaire A reference to the answered Questionnaire. The reference should be to the url of a Questionnaire resource stored in Kanta PHR.
Status status The status of the questionnaire response indicating for example whether the answering has been completed or still in progress. The code for the status SHALL be from the FHIR Questionnaire Response Status ValueSet, however, the code 'entered-in-error' is not allowed in Kanta PHR.
Subject of the questionnaire response subject The patient/citizen the answers apply to/are about. The reference SHALL be to a Patient resource stored in Kanta PHR (that conforms to the Finnish PHR Patient profile).
Date the answers were gathered authored The date and/or time that this set of answers were last changed.
Who answered the questions source This may be the same as the subject, or this may be another person for example when someone is using Kanta PHR on behalf of the subject. The reference SHALL be to a Patient resource stored in Kanta PHR (that conforms to the Finnish PHR Patient profile).
Answers item Answers to the questions asked in the Questionnaire.

Optional elements for Finnish PHR Questionnaire response

Optional elements table for Finnish PHR Questionnaire profile
Content Name in structure Description / Type of information
What this questionnaire response fulfills basedOn A reference to a plan that is fulfilled in whole or in part by this questionnaire reponse. The reference SHALL be to a CarePlan resource stored in Kanta PHR (that conforms to the Finnish PHR selfCarePlan profile).
As part of what this questionnaire response was performed parent A reference to an Observation resource stored in the Kanta PHR, as part of which this questionnaire response was performed.
Person who received and recorded the answers author This may be the same as the subject or the source, or this may be some other person. The reference SHALL be to a Patient resource stored in Kanta PHR (that conforms to the Finnish PHR Patient profile).

Elements in the Finnish PHR QuestionnaireResponse profile filled by the Kanta PHR platform

Elements in the Finnish PHR SelfCarePlan profile filled by the Kanta PHR platform
Content Name in structure Description / Type of information
Application that created or updated the resource extension:
creatingApplication

Is used to represent information about the application (id and name) that created or updated the resource. See the definition for the Finnish PHR Application Information extension.

Kanta PHR platform will fill in this data automatically to each stored resource (if the application has entered some data in this extension, it will be overwitten).


Finnish PHR QuestionnaireResponse Narrative guide

Narrative of the Questionnaire Response Profile must include either all the questions and answers of the Questionnaire or a summary of the essential information.

Layout of the narrative should be carefully taken into account, the narrative is shown in My Kanta Pages.

Example of Finnish PHR QuestionnaireResponse resource in Simplifier