MII IG PRO
2027.0.0-ballot.1 - Germany

This page is part of the MII Implementation Guide PRO (v2027.0.0-ballot.1: 2027 Ballot 5) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: MII PR PRO QuestionnaireResponse

Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response Version: 2027.0.0-ballot.1
Active as of 2026-09-11 Computable Name: MII_PR_PRO_QuestionnaireResponse

MII PR PRO QuestionnaireResponse, based on the FHIR Structure Data Capture Specification

The abstract QuestionnaireResponse profile standardises the structure of completed questionnaires. It inherits from the SDC QuestionnaireResponse profile and ensures that all PRO answers can be captured and processed consistently. Concrete implementations must extend this profile and add instrument-specific constraints.

Core elements:

  • A reference to the corresponding Questionnaire
  • A mandatory status (completed, in-progress, and so on)
  • Structured items carrying the answers
  • An authored timestamp for chronological documentation

Example — a concrete response inheriting from this abstract profile: PHQ-9 response.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* SDCQuestionnaireResponse Standard Questionnaire Response
Constraints: sdcqr-1, sdcqr-2, sdcqr-3
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language S 0..1 code Sprache der Antwortinhalte
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... Slices for extension Content/Rules for all slices
.... extension:adheresTo 0..* (Complex) Follows rules from
URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
..... value[x] 1..1 Value of extension
...... valueCanonical canonical(ActivityDefinition | PlanDefinition)
...... valueReference Reference(ActivityDefinition | PlanDefinition)
...... valueUri uri
.... extension:triggeredBy 0..1 (Complex) Created because of following
URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
..... value[x] 1..1 Value of extension
...... valueCanonical canonical(ActivityDefinition | PlanDefinition)
...... valueReference Reference(ActivityDefinition | PlanDefinition)
...... valueUri uri
.... extension:signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension:completionMode 0..1 CodeableConcept E.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
... identifier SΣ 0..1 Identifier Unique id for this set of answers
... questionnaire SΣ 1..1 canonical(SDC Base Questionnaire) Form being answered
.... Slices for extension Content/Rules for all slices
..... extension:questionnaireDisplay S 0..1 string Display name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
... status ?!SΣ 1..1 code in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 0..1 Reference(Resource) The subject of the questions
... authored SΣ 1..1 dateTime Date the answers were gathered
... author SΣ 0..1 Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) Person who received and recorded the answers
... item SC 0..* BackboneElement Groups and questions
Constraints: qrs-1, qrs-2
.... Slices for extension Content/Rules for all slices
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string Pointer to specific item from Questionnaire
.... text S 0..1 string Wortlaut des Items, wie er der antwortenden Person präsentiert wurde
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
.... answer S 0..* BackboneElement The response(s) to the question
..... Slices for extension Content/Rules for all slices
...... extension:itemAnswerMedia 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:itemWeight 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/itemWeight
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... Slices for value[x] S 0..1 Single-valued answer to the question
Slice: Unordered, Open by type:$this
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
...... valueBoolean boolean
...... valueDecimal decimal
...... valueInteger integer
...... valueDate date
...... valueDateTime dateTime
...... valueTime time
...... valueString string
...... valueUri uri
...... valueAttachment Attachment
...... valueCoding Coding
...... valueQuantity Quantity
...... valueReference Reference(Resource)
...... value[x]:valueCoding S 0..1 Coding Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
....... display SΣ 0..1 string Wortlaut der gewählten Antwort
........ Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ Slices for extension Content/Rules for all slices
......... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
..... item S 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item S 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x]:valueCoding Base example Questionnaire Answer Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error QuestionnaireResponse If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error QuestionnaireResponse If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice QuestionnaireResponse A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qrs-1 error QuestionnaireResponse.item Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()
qrs-2 error QuestionnaireResponse.item Repeated answers are combined in the answers array of a single item repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()
sdcqr-1 best practice QuestionnaireResponse Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. subject.exists()
sdcqr-2 best practice QuestionnaireResponse When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()
sdcqr-3 error QuestionnaireResponse Can either have source or source extension, but not both source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse 0..* SDCQuestionnaireResponse Standard Questionnaire Response
... language S 0..1 code Sprache der Antwortinhalte
... item
.... text 0..1 string Wortlaut des Items, wie er der antwortenden Person präsentiert wurde
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
.... answer
..... Slices for value[x] 0..1 boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource) Single-valued answer to the question
Slice: Unordered, Open by type:$this
...... value[x]:valueCoding 0..1 Coding Single-valued answer to the question
....... display S 0..1 string Wortlaut der gewählten Antwort
........ Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ Slices for extension Content/Rules for all slices
......... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* SDCQuestionnaireResponse Standard Questionnaire Response
Constraints: sdcqr-1, sdcqr-2, sdcqr-3
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:adheresTo 0..* (Complex) Follows rules from
URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
..... value[x] 1..1 Value of extension
...... valueCanonical canonical(ActivityDefinition | PlanDefinition)
...... valueReference Reference(ActivityDefinition | PlanDefinition)
...... valueUri uri
.... extension:triggeredBy 0..1 (Complex) Created because of following
URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
..... value[x] 1..1 Value of extension
...... valueCanonical canonical(ActivityDefinition | PlanDefinition)
...... valueReference Reference(ActivityDefinition | PlanDefinition)
...... valueUri uri
.... extension:signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension:completionMode 0..1 CodeableConcept E.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier Unique id for this set of answers
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) Request fulfilled by this QuestionnaireResponse
... partOf Σ 0..* Reference(Observation | Procedure) Part of this action
... questionnaire SΣ 1..1 canonical(SDC Base Questionnaire) Form being answered
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:questionnaireDisplay S 0..1 string Display name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
.... value 0..1 string Primitive value for canonical
... status ?!SΣ 1..1 code in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 0..1 Reference(Resource) The subject of the questions
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... authored SΣ 1..1 dateTime Date the answers were gathered
... author SΣ 0..1 Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) Person who received and recorded the answers
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) The person who answered the questions
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:r5Source 0..1 (Complex) Alternative reference (target type is wrong)
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/alternate-reference"
...... value[x] 1..1 Reference(Device | Organization) Value of extension
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... item SC 0..* BackboneElement Groups and questions
Constraints: qrs-1, qrs-2
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string Pointer to specific item from Questionnaire
.... definition 0..1 uri ElementDefinition - details for the item
.... text S 0..1 string Wortlaut des Items, wie er der antwortenden Person präsentiert wurde
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
..... value 0..1 string Primitive value for string
Max Length:1048576
.... answer S 0..* BackboneElement The response(s) to the question
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:itemAnswerMedia 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:itemWeight 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/itemWeight
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... Slices for value[x] S 0..1 Single-valued answer to the question
Slice: Unordered, Open by type:$this
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
...... valueBoolean boolean
...... valueDecimal decimal
...... valueInteger integer
...... valueDate date
...... valueDateTime dateTime
...... valueTime time
...... valueString string
...... valueUri uri
...... valueAttachment Attachment
...... valueCoding Coding
...... valueQuantity Quantity
...... valueReference Reference(Resource)
...... value[x]:valueCoding S 0..1 Coding Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Wortlaut der gewählten Antwort
........ id 0..1 string xml:id (or equivalent in JSON)
........ Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ Slices for extension Content/Rules for all slices
......... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
........ value 0..1 string Primitive value for string
Max Length:1048576
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... item S 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item S 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.
QuestionnaireResponse.​source.type Base extensible ResourceType 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x]:valueCoding Base example Questionnaire Answer Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error QuestionnaireResponse If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error QuestionnaireResponse If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice QuestionnaireResponse A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qrs-1 error QuestionnaireResponse.item Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()
qrs-2 error QuestionnaireResponse.item Repeated answers are combined in the answers array of a single item repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()
sdcqr-1 best practice QuestionnaireResponse Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. subject.exists()
sdcqr-2 best practice QuestionnaireResponse When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()
sdcqr-3 error QuestionnaireResponse Can either have source or source extension, but not both source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1

Summary

Must-Support: 4 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of QuestionnaireResponse.item.answer.value[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* SDCQuestionnaireResponse Standard Questionnaire Response
Constraints: sdcqr-1, sdcqr-2, sdcqr-3
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language S 0..1 code Sprache der Antwortinhalte
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... Slices for extension Content/Rules for all slices
.... extension:adheresTo 0..* (Complex) Follows rules from
URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
..... value[x] 1..1 Value of extension
...... valueCanonical canonical(ActivityDefinition | PlanDefinition)
...... valueReference Reference(ActivityDefinition | PlanDefinition)
...... valueUri uri
.... extension:triggeredBy 0..1 (Complex) Created because of following
URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
..... value[x] 1..1 Value of extension
...... valueCanonical canonical(ActivityDefinition | PlanDefinition)
...... valueReference Reference(ActivityDefinition | PlanDefinition)
...... valueUri uri
.... extension:signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension:completionMode 0..1 CodeableConcept E.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
... identifier SΣ 0..1 Identifier Unique id for this set of answers
... questionnaire SΣ 1..1 canonical(SDC Base Questionnaire) Form being answered
.... Slices for extension Content/Rules for all slices
..... extension:questionnaireDisplay S 0..1 string Display name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
... status ?!SΣ 1..1 code in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 0..1 Reference(Resource) The subject of the questions
... authored SΣ 1..1 dateTime Date the answers were gathered
... author SΣ 0..1 Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) Person who received and recorded the answers
... item SC 0..* BackboneElement Groups and questions
Constraints: qrs-1, qrs-2
.... Slices for extension Content/Rules for all slices
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string Pointer to specific item from Questionnaire
.... text S 0..1 string Wortlaut des Items, wie er der antwortenden Person präsentiert wurde
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
.... answer S 0..* BackboneElement The response(s) to the question
..... Slices for extension Content/Rules for all slices
...... extension:itemAnswerMedia 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:itemWeight 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/itemWeight
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... Slices for value[x] S 0..1 Single-valued answer to the question
Slice: Unordered, Open by type:$this
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
...... valueBoolean boolean
...... valueDecimal decimal
...... valueInteger integer
...... valueDate date
...... valueDateTime dateTime
...... valueTime time
...... valueString string
...... valueUri uri
...... valueAttachment Attachment
...... valueCoding Coding
...... valueQuantity Quantity
...... valueReference Reference(Resource)
...... value[x]:valueCoding S 0..1 Coding Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
....... display SΣ 0..1 string Wortlaut der gewählten Antwort
........ Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ Slices for extension Content/Rules for all slices
......... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
..... item S 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item S 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x]:valueCoding Base example Questionnaire Answer Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error QuestionnaireResponse If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error QuestionnaireResponse If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice QuestionnaireResponse A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qrs-1 error QuestionnaireResponse.item Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()
qrs-2 error QuestionnaireResponse.item Repeated answers are combined in the answers array of a single item repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()
sdcqr-1 best practice QuestionnaireResponse Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. subject.exists()
sdcqr-2 best practice QuestionnaireResponse When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()
sdcqr-3 error QuestionnaireResponse Can either have source or source extension, but not both source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse 0..* SDCQuestionnaireResponse Standard Questionnaire Response
... language S 0..1 code Sprache der Antwortinhalte
... item
.... text 0..1 string Wortlaut des Items, wie er der antwortenden Person präsentiert wurde
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
.... answer
..... Slices for value[x] 0..1 boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource) Single-valued answer to the question
Slice: Unordered, Open by type:$this
...... value[x]:valueCoding 0..1 Coding Single-valued answer to the question
....... display S 0..1 string Wortlaut der gewählten Antwort
........ Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ Slices for extension Content/Rules for all slices
......... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* SDCQuestionnaireResponse Standard Questionnaire Response
Constraints: sdcqr-1, sdcqr-2, sdcqr-3
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:adheresTo 0..* (Complex) Follows rules from
URL: http://hl7.org/fhir/StructureDefinition/workflow-adheresTo
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
..... value[x] 1..1 Value of extension
...... valueCanonical canonical(ActivityDefinition | PlanDefinition)
...... valueReference Reference(ActivityDefinition | PlanDefinition)
...... valueUri uri
.... extension:triggeredBy 0..1 (Complex) Created because of following
URL: http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
..... value[x] 1..1 Value of extension
...... valueCanonical canonical(ActivityDefinition | PlanDefinition)
...... valueReference Reference(ActivityDefinition | PlanDefinition)
...... valueUri uri
.... extension:signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension:completionMode 0..1 CodeableConcept E.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier Unique id for this set of answers
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) Request fulfilled by this QuestionnaireResponse
... partOf Σ 0..* Reference(Observation | Procedure) Part of this action
... questionnaire SΣ 1..1 canonical(SDC Base Questionnaire) Form being answered
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:questionnaireDisplay S 0..1 string Display name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
.... value 0..1 string Primitive value for canonical
... status ?!SΣ 1..1 code in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 0..1 Reference(Resource) The subject of the questions
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... authored SΣ 1..1 dateTime Date the answers were gathered
... author SΣ 0..1 Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) Person who received and recorded the answers
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) The person who answered the questions
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:r5Source 0..1 (Complex) Alternative reference (target type is wrong)
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/alternate-reference"
...... value[x] 1..1 Reference(Device | Organization) Value of extension
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... item SC 0..* BackboneElement Groups and questions
Constraints: qrs-1, qrs-2
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string Pointer to specific item from Questionnaire
.... definition 0..1 uri ElementDefinition - details for the item
.... text S 0..1 string Wortlaut des Items, wie er der antwortenden Person präsentiert wurde
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
..... value 0..1 string Primitive value for string
Max Length:1048576
.... answer S 0..* BackboneElement The response(s) to the question
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:itemAnswerMedia 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:itemWeight 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/itemWeight
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... Slices for value[x] S 0..1 Single-valued answer to the question
Slice: Unordered, Open by type:$this
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
...... valueBoolean boolean
...... valueDecimal decimal
...... valueInteger integer
...... valueDate date
...... valueDateTime dateTime
...... valueTime time
...... valueString string
...... valueUri uri
...... valueAttachment Attachment
...... valueCoding Coding
...... valueQuantity Quantity
...... valueReference Reference(Resource)
...... value[x]:valueCoding S 0..1 Coding Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Wortlaut der gewählten Antwort
........ id 0..1 string xml:id (or equivalent in JSON)
........ Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ Slices for extension Content/Rules for all slices
......... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
........ value 0..1 string Primitive value for string
Max Length:1048576
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... item S 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item S 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.
QuestionnaireResponse.​source.type Base extensible ResourceType 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x]:valueCoding Base example Questionnaire Answer Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error QuestionnaireResponse If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error QuestionnaireResponse If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice QuestionnaireResponse A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qrs-1 error QuestionnaireResponse.item Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()
qrs-2 error QuestionnaireResponse.item Repeated answers are combined in the answers array of a single item repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()
sdcqr-1 best practice QuestionnaireResponse Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. subject.exists()
sdcqr-2 best practice QuestionnaireResponse When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()
sdcqr-3 error QuestionnaireResponse Can either have source or source extension, but not both source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1

Summary

Must-Support: 4 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of QuestionnaireResponse.item.answer.value[x]

 

Other representations of profile: CSV, Excel, Schematron