HL7 FHIR® CareConnect Baseline Profiles for STU3 (Draft Standard for Trial Use)

Important Announcement regarding CareConnect STU3

As of 19/09/2023, CareConnect has been deprecated and all development on the CareConnect FHIR assets has ceased.
Therefore, vendors looking to start new implementations or looking to update existing implementations should use UK Core R4 based solutions. Vendors continuing to implement CareConnect based solutions do so at their own risk and on the understanding that no maintenance or support will be available.

StructureDefinition-CareConnect-QuestionnaireResponse

Defines the UK Core constraints and extensions on the QuestionnaireResponse resource for the minimal set of data to query and retrieve a complete or partial list of answers to a set of questions completed when responding to a questionnaire.

Snapshot View

CareConnect-QuestionnaireResponse-1 (QuestionnaireResponse)

QuestionnaireResponse

Element id

QuestionnaireResponse

Short description

A structured set of questions and their answers

Alternate names

Form, QuestionnaireAnswers

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 questionnaire being responded to.

Comments

The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse. For use with CareConnect.

Data type

QuestionnaireResponse

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
contained.text.empty()
dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
contained.where(('#'+id in %resource.descendants().reference).not()).empty()

Mappings

rim: Entity. Role, or Act
rim: Observation[moodCode=EVN]
w5: infrastructure.information

0..1

There are no (further) constraints on this element

Element id

QuestionnaireResponse.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

Meta

There are no (further) constraints on this element

Element id

QuestionnaireResponse.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Data type

Meta

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

QuestionnaireResponse.implicitRules

Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

QuestionnaireResponse.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Data type

code

Binding

A human language.

Common Languages (extensible)

Binding extensions

maxValueSet	All Languages

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

text

0..1

Narrative

There are no (further) constraints on this element

Element id

QuestionnaireResponse.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, dom-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

QuestionnaireResponse.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

Data type

Resource

Mappings

rim: Entity. Role, or Act
rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.extension

Short description

Additional Content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

identifier

0..1

Identifier

There are no (further) constraints on this element

Element id

QuestionnaireResponse.identifier

Short description

Unique id for this set of answers

Definition

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

Requirements

Used for tracking, registration and other business purposes.

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
rim: .id
w5: id

basedOn

Σ C

0..*

Reference(CarePlan | ProcedureRequest | ReferralRequest)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.basedOn

Short description

Request fulfilled by this QuestionnaireResponse

Alternate names

order

Definition

The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse. For example, a ProcedureRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression.

Requirements

Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(CarePlan | ProcedureRequest | ReferralRequest)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .outboundRelationship[typeCode=FLFS].target

parent

Σ C

0..*

Reference(Observation | Procedure)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.parent

Short description

Part of this action

Definition

A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of.

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.

Data type

Reference(Observation | Procedure)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .inboundRelationship[typeCode=COMP].source[moodCode=EVN]

questionnaire

Σ C

0..1

Reference(Questionnaire)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.questionnaire

Short description

Form being answered

Alternate names

Form

Definition

The Questionnaire that defines and organizes the questions for which answers are being provided.

Requirements

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

Comments

If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.).

Data type

Reference(Questionnaire)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: ./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]

status

Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

QuestionnaireResponse.status

Short description

in-progress | completed | amended | entered-in-error | stopped

Definition

The position of the questionnaire response within its overall lifecycle.

Requirements

The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished.

Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Data type

code

Binding

Lifecycle status of the questionnaire response.

QuestionnaireResponseStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)
w5: status

subject

Σ C

0..1

Reference(Resource)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.subject

Short description

The subject of the questions

Alternate names

Patient, Focus

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.

Requirements

Allows linking the answers to the individual the answers describe. May also affect access control.

Comments

If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=SBJ].role
w5: who.focus

context

Σ C

0..1

Reference(Encounter | EpisodeOfCare)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.context

Short description

Encounter or Episode during which questionnaire was completed

Definition

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

Requirements

Provides context for the information that was captured. May also affect access control.

Comments

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

Data type

Reference(Encounter | EpisodeOfCare)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
w5: context

authored

0..1

dateTime

There are no (further) constraints on this element

Element id

QuestionnaireResponse.authored

Short description

Date the answers were gathered

Alternate names

Date Created, Date published, Date Issued, Date updated

Definition

The date and/or time that this set of answers were last changed.

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.

Comments

May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.

This element is optional to allow for systems that may not know the value, however it SHOULD be populated if possible.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .participation[typeCode=AUT].time
w5: when.recorded

author

Σ C

0..1

Reference(Device | Patient | Practitioner | RelatedPerson)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.author

Short description

Person who received and recorded the answers

Alternate names

Laboratory, Service, Practitioner, Department, Company, Performer

Definition

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

Requirements

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

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.

Data type

Reference(Device | Patient | Practitioner | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=AUT].role
w5: who.author

source

Σ C

0..1

Reference(Patient | Practitioner | RelatedPerson)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.source

Short description

The person who answered the questions

Definition

The person who answered the questions about the subject.

Requirements

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

Comments

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

Data type

Reference(Patient | Practitioner | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=INF].role
w5: who.source

item

0..*

BackboneElement

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item

Short description

Groups and questions

Definition

A group or question item from the original questionnaire for which answers are provided.

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).

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
qrs-1: Nested item can't be beneath both item and answer
(answer.exists() and item.exists()).not()

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.extension

Short description

Additional Content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

linkId

1..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.linkId

Short description

Pointer to specific item from Questionnaire

Definition

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

Requirements

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

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id

definition

0..1

uri

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.definition

Short description

ElementDefinition - details for the item

Definition

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

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 its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

There is no need for this element if the item pointed to by the linkId has a definition listed.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code

text

0..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.text

Short description

Name for group or question text

Definition

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

Requirements

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

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .text

subject

0..1

Reference(Resource)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.subject

Short description

The subject this group's answers are about

Definition

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

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.

Comments

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target

answer

0..*

BackboneElement

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer

Short description

The response(s) to the question

Definition

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

Comments

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

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .value[type=LIST_ANY]

0..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.extension

Short description

Additional Content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content, modifiers

Definition

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

value[x]

0..1

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.value[x]

Short description

Single-valued answer to the question

Definition

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

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.

Binding

Code indicating the response provided for a question.

Questionnaire Answer Codes (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .item

valueAttachment

Attachment

There are no (further) constraints on this element

Data type

Attachment

valueBoolean

boolean

There are no (further) constraints on this element

Data type

boolean

valueCoding

Coding

There are no (further) constraints on this element

Data type

Coding

valueDate

date

There are no (further) constraints on this element

Data type

date

valueDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

valueDecimal

decimal

There are no (further) constraints on this element

Data type

decimal

valueInteger

integer

There are no (further) constraints on this element

Data type

integer

valueQuantity

Quantity

There are no (further) constraints on this element

Data type

Quantity

valueReference

Reference(Resource)

There are no (further) constraints on this element

Data type

Reference(Resource)

valueString

string

There are no (further) constraints on this element

Data type

string

valueTime

time

There are no (further) constraints on this element

Data type

time

valueUri

uri

There are no (further) constraints on this element

Data type

uri

item

0..*

see (item)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.item

Short description

Nested groups and questions

Definition

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

Requirements

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

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

item

0..*

see (item)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.item

Short description

Nested questionnaire response items

Definition

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

Requirements

Reports can consist of complex nested groups.

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

Differential View

CareConnect-QuestionnaireResponse-1 (QuestionnaireResponse)

QuestionnaireResponse

Element id

QuestionnaireResponse

Short description

A structured set of questions and their answers

Alternate names

Form, QuestionnaireAnswers

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 questionnaire being responded to.

Comments

Data type

QuestionnaireResponse

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
contained.text.empty()
dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
contained.where(('#'+id in %resource.descendants().reference).not()).empty()

Mappings

rim: Entity. Role, or Act
rim: Observation[moodCode=EVN]
w5: infrastructure.information

0..1

There are no (further) constraints on this element

Element id

QuestionnaireResponse.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

Meta

There are no (further) constraints on this element

Element id

QuestionnaireResponse.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Data type

Meta

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

QuestionnaireResponse.implicitRules

Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Comments

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

QuestionnaireResponse.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

code

Binding

A human language.

Common Languages (extensible)

Binding extensions

maxValueSet	All Languages

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

text

0..1

Narrative

There are no (further) constraints on this element

Element id

QuestionnaireResponse.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, dom-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

QuestionnaireResponse.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

Data type

Resource

Mappings

rim: Entity. Role, or Act
rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.extension

Short description

Additional Content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

identifier

0..1

Identifier

There are no (further) constraints on this element

Element id

QuestionnaireResponse.identifier

Short description

Unique id for this set of answers

Definition

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

Requirements

Used for tracking, registration and other business purposes.

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
rim: .id
w5: id

basedOn

Σ C

0..*

Reference(CarePlan | ProcedureRequest | ReferralRequest)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.basedOn

Short description

Request fulfilled by this QuestionnaireResponse

Alternate names

order

Definition

Requirements

Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.

Comments

Data type

Reference(CarePlan | ProcedureRequest | ReferralRequest)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .outboundRelationship[typeCode=FLFS].target

parent

Σ C

0..*

Reference(Observation | Procedure)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.parent

Short description

Part of this action

Definition

A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of.

Comments

Data type

Reference(Observation | Procedure)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .inboundRelationship[typeCode=COMP].source[moodCode=EVN]

questionnaire

Σ C

0..1

Reference(Questionnaire)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.questionnaire

Short description

Form being answered

Alternate names

Form

Definition

The Questionnaire that defines and organizes the questions for which answers are being provided.

Requirements

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

Comments

Data type

Reference(Questionnaire)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: ./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]

status

Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

QuestionnaireResponse.status

Short description

in-progress | completed | amended | entered-in-error | stopped

Definition

The position of the questionnaire response within its overall lifecycle.

Requirements

The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished.

Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Data type

code

Binding

Lifecycle status of the questionnaire response.

QuestionnaireResponseStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)
w5: status

subject

Σ C

0..1

Reference(Resource)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.subject

Short description

The subject of the questions

Alternate names

Patient, Focus

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.

Requirements

Allows linking the answers to the individual the answers describe. May also affect access control.

Comments

If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=SBJ].role
w5: who.focus

context

Σ C

0..1

Reference(Encounter | EpisodeOfCare)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.context

Short description

Encounter or Episode during which questionnaire was completed

Definition

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

Requirements

Provides context for the information that was captured. May also affect access control.

Comments

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

Data type

Reference(Encounter | EpisodeOfCare)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
w5: context

authored

0..1

dateTime

There are no (further) constraints on this element

Element id

QuestionnaireResponse.authored

Short description

Date the answers were gathered

Alternate names

Date Created, Date published, Date Issued, Date updated

Definition

The date and/or time that this set of answers were last changed.

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.

Comments

May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.

This element is optional to allow for systems that may not know the value, however it SHOULD be populated if possible.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .participation[typeCode=AUT].time
w5: when.recorded

author

Σ C

0..1

Reference(Device | Patient | Practitioner | RelatedPerson)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.author

Short description

Person who received and recorded the answers

Alternate names

Laboratory, Service, Practitioner, Department, Company, Performer

Definition

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

Requirements

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

Comments

Data type

Reference(Device | Patient | Practitioner | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=AUT].role
w5: who.author

source

Σ C

0..1

Reference(Patient | Practitioner | RelatedPerson)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.source

Short description

The person who answered the questions

Definition

The person who answered the questions about the subject.

Requirements

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

Comments

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

Data type

Reference(Patient | Practitioner | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=INF].role
w5: who.source

item

0..*

BackboneElement

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item

Short description

Groups and questions

Definition

A group or question item from the original questionnaire for which answers are provided.

Comments

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
qrs-1: Nested item can't be beneath both item and answer
(answer.exists() and item.exists()).not()

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.extension

Short description

Additional Content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content, modifiers

Definition

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

linkId

1..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.linkId

Short description

Pointer to specific item from Questionnaire

Definition

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

Requirements

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

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id

definition

0..1

uri

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.definition

Short description

ElementDefinition - details for the item

Definition

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

Requirements

Comments

There is no need for this element if the item pointed to by the linkId has a definition listed.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code

text

0..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.text

Short description

Name for group or question text

Definition

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

Requirements

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

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .text

subject

0..1

Reference(Resource)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.subject

Short description

The subject this group's answers are about

Definition

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

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.

Comments

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target

answer

0..*

BackboneElement

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer

Short description

The response(s) to the question

Definition

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

Comments

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

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .value[type=LIST_ANY]

0..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.extension

Short description

Additional Content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content, modifiers

Definition

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

value[x]

0..1

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.value[x]

Short description

Single-valued answer to the question

Definition

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

Requirements

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

Comments

Binding

Code indicating the response provided for a question.

Questionnaire Answer Codes (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .item

valueAttachment

Attachment

There are no (further) constraints on this element

Data type

Attachment

valueBoolean

boolean

There are no (further) constraints on this element

Data type

boolean

valueCoding

Coding

There are no (further) constraints on this element

Data type

Coding

valueDate

date

There are no (further) constraints on this element

Data type

date

valueDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

valueDecimal

decimal

There are no (further) constraints on this element

Data type

decimal

valueInteger

integer

There are no (further) constraints on this element

Data type

integer

valueQuantity

Quantity

There are no (further) constraints on this element

Data type

Quantity

valueReference

Reference(Resource)

There are no (further) constraints on this element

Data type

Reference(Resource)

valueString

string

There are no (further) constraints on this element

Data type

string

valueTime

time

There are no (further) constraints on this element

Data type

time

valueUri

uri

There are no (further) constraints on this element

Data type

uri

item

0..*

see (item)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.item

Short description

Nested groups and questions

Definition

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

Requirements

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

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

item

0..*

see (item)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.item

Short description

Nested questionnaire response items

Definition

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

Requirements

Reports can consist of complex nested groups.

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

Hybrid View

CareConnect-QuestionnaireResponse-1 (QuestionnaireResponse)

QuestionnaireResponse

Element id

QuestionnaireResponse

Short description

A structured set of questions and their answers

Alternate names

Form, QuestionnaireAnswers

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 questionnaire being responded to.

Comments

Data type

QuestionnaireResponse

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
contained.text.empty()
dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
contained.where(('#'+id in %resource.descendants().reference).not()).empty()

Mappings

rim: Entity. Role, or Act
rim: Observation[moodCode=EVN]
w5: infrastructure.information

0..1

There are no (further) constraints on this element

Element id

QuestionnaireResponse.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

Meta

There are no (further) constraints on this element

Element id

QuestionnaireResponse.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Data type

Meta

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

QuestionnaireResponse.implicitRules

Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Comments

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

QuestionnaireResponse.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

code

Binding

A human language.

Common Languages (extensible)

Binding extensions

maxValueSet	All Languages

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

text

0..1

Narrative

There are no (further) constraints on this element

Element id

QuestionnaireResponse.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, dom-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

QuestionnaireResponse.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

Data type

Resource

Mappings

rim: Entity. Role, or Act
rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.extension

Short description

Additional Content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

identifier

0..1

Identifier

There are no (further) constraints on this element

Element id

QuestionnaireResponse.identifier

Short description

Unique id for this set of answers

Definition

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

Requirements

Used for tracking, registration and other business purposes.

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
rim: .id
w5: id

basedOn

Σ C

0..*

Reference(CarePlan | ProcedureRequest | ReferralRequest)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.basedOn

Short description

Request fulfilled by this QuestionnaireResponse

Alternate names

order

Definition

Requirements

Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.

Comments

Data type

Reference(CarePlan | ProcedureRequest | ReferralRequest)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .outboundRelationship[typeCode=FLFS].target

parent

Σ C

0..*

Reference(Observation | Procedure)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.parent

Short description

Part of this action

Definition

A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of.

Comments

Data type

Reference(Observation | Procedure)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .inboundRelationship[typeCode=COMP].source[moodCode=EVN]

questionnaire

Σ C

0..1

Reference(Questionnaire)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.questionnaire

Short description

Form being answered

Alternate names

Form

Definition

The Questionnaire that defines and organizes the questions for which answers are being provided.

Requirements

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

Comments

Data type

Reference(Questionnaire)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: ./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]

status

Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

QuestionnaireResponse.status

Short description

in-progress | completed | amended | entered-in-error | stopped

Definition

The position of the questionnaire response within its overall lifecycle.

Requirements

The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished.

Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Data type

code

Binding

Lifecycle status of the questionnaire response.

QuestionnaireResponseStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)
w5: status

subject

Σ C

0..1

Reference(Resource)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.subject

Short description

The subject of the questions

Alternate names

Patient, Focus

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.

Requirements

Allows linking the answers to the individual the answers describe. May also affect access control.

Comments

If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=SBJ].role
w5: who.focus

context

Σ C

0..1

Reference(Encounter | EpisodeOfCare)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.context

Short description

Encounter or Episode during which questionnaire was completed

Definition

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

Requirements

Provides context for the information that was captured. May also affect access control.

Comments

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

Data type

Reference(Encounter | EpisodeOfCare)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
w5: context

authored

0..1

dateTime

There are no (further) constraints on this element

Element id

QuestionnaireResponse.authored

Short description

Date the answers were gathered

Alternate names

Date Created, Date published, Date Issued, Date updated

Definition

The date and/or time that this set of answers were last changed.

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.

Comments

May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.

This element is optional to allow for systems that may not know the value, however it SHOULD be populated if possible.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .participation[typeCode=AUT].time
w5: when.recorded

author

Σ C

0..1

Reference(Device | Patient | Practitioner | RelatedPerson)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.author

Short description

Person who received and recorded the answers

Alternate names

Laboratory, Service, Practitioner, Department, Company, Performer

Definition

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

Requirements

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

Comments

Data type

Reference(Device | Patient | Practitioner | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=AUT].role
w5: who.author

source

Σ C

0..1

Reference(Patient | Practitioner | RelatedPerson)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.source

Short description

The person who answered the questions

Definition

The person who answered the questions about the subject.

Requirements

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

Comments

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

Data type

Reference(Patient | Practitioner | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=INF].role
w5: who.source

item

0..*

BackboneElement

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item

Short description

Groups and questions

Definition

A group or question item from the original questionnaire for which answers are provided.

Comments

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
qrs-1: Nested item can't be beneath both item and answer
(answer.exists() and item.exists()).not()

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.extension

Short description

Additional Content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content, modifiers

Definition

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

linkId

1..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.linkId

Short description

Pointer to specific item from Questionnaire

Definition

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

Requirements

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

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id

definition

0..1

uri

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.definition

Short description

ElementDefinition - details for the item

Definition

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

Requirements

Comments

There is no need for this element if the item pointed to by the linkId has a definition listed.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code

text

0..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.text

Short description

Name for group or question text

Definition

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

Requirements

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

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .text

subject

0..1

Reference(Resource)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.subject

Short description

The subject this group's answers are about

Definition

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

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.

Comments

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target

answer

0..*

BackboneElement

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer

Short description

The response(s) to the question

Definition

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

Comments

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

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .value[type=LIST_ANY]

0..1

string

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Comments

Note that FHIR strings may not exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.extension

Short description

Additional Content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content, modifiers

Definition

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

value[x]

0..1

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.value[x]

Short description

Single-valued answer to the question

Definition

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

Requirements

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

Comments

Binding

Code indicating the response provided for a question.

Questionnaire Answer Codes (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())

Mappings

rim: n/a
rim: .item

valueAttachment

Attachment

There are no (further) constraints on this element

Data type

Attachment

valueBoolean

boolean

There are no (further) constraints on this element

Data type

boolean

valueCoding

Coding

There are no (further) constraints on this element

Data type

Coding

valueDate

date

There are no (further) constraints on this element

Data type

date

valueDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

valueDecimal

decimal

There are no (further) constraints on this element

Data type

decimal

valueInteger

integer

There are no (further) constraints on this element

Data type

integer

valueQuantity

Quantity

There are no (further) constraints on this element

Data type

Quantity

valueReference

Reference(Resource)

There are no (further) constraints on this element

Data type

Reference(Resource)

valueString

string

There are no (further) constraints on this element

Data type

string

valueTime

time

There are no (further) constraints on this element

Data type

time

valueUri

uri

There are no (further) constraints on this element

Data type

uri

item

0..*

see (item)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.answer.item

Short description

Nested groups and questions

Definition

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

Requirements

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

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

item

0..*

see (item)

There are no (further) constraints on this element

Element id

QuestionnaireResponse.item.item

Short description

Nested questionnaire response items

Definition

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

Requirements

Reports can consist of complex nested groups.

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]