WHO Digital Documentation of COVID-19 Certificates (DDCC), published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/ddcc/tree/main and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: DDCC Questionnaire Response ( Abstract )

Describes the logical structure for a questionnaire response associacted to a DDCC Questionaire.

Usage:

• Use this Resource Profile: DDCC Generate Health Certificate Parameters, DDCC Submit Health Event Request and DDCC:VS Add Bundle
• Examples for this Resource Profile: QuestionnaireResponse/DDCCVSQuestionnaireResponseArabic, QuestionnaireResponse/DDCCVSQuestionnaireResponseChinese, QuestionnaireResponse/DDCCVSQuestionnaireResponseExample, QuestionnaireResponse/DDCCVSQuestionnaireResponseFrench... Show 2 more, QuestionnaireResponse/DDCCVSQuestionnaireResponseRussian and QuestionnaireResponse/DDCCVSQuestionnaireResponseSpanish
• CapabilityStatements using this Resource Profile: WHO DDCC Generator

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponse	This is an abstract profile. SDC Questionnaire Response dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..1	Identifier	Unique id for this set of answers ele-1: All FHIR elements must have a @value or children
questionnaire	SΣ	1..1	canonical(SDCBaseQuestionnaire)	Form being answered ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. ele-1: All FHIR elements must have a @value or children
subject	SΣ	0..1	Reference(Resource)	The subject of the questions ele-1: All FHIR elements must have a @value or children
authored	SΣ	1..1	dateTime	Date the answers were gathered ele-1: All FHIR elements must have a @value or children
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers ele-1: All FHIR elements must have a @value or children
item	SC	0..*	BackboneElement	Groups and questions ele-1: All FHIR elements must have a @value or children qrs-1: Nested item can't be beneath both item and answer
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:ItemSignature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
linkId	S	1..1	string	Pointer to specific item from Questionnaire ele-1: All FHIR elements must have a @value or children
text	S	0..1	string	Name for group or question text ele-1: All FHIR elements must have a @value or children
answer	S	0..*	BackboneElement	The response(s) to the question ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:ordinalValue		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
value[x]	S	0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. ele-1: All FHIR elements must have a @value or children
valueBoolean			boolean
valueDate			date
valueDateTime			dateTime
valueTime			time
valueDecimal			decimal
valueInteger			integer
valueString			string
valueCoding			Coding
valueUri			uri
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Any)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions ele-1: All FHIR elements must have a @value or children
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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()

This structure is derived from SDCQuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	SDCQuestionnaireResponse	This is an abstract profile. SDC Questionnaire Response
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponse	This is an abstract profile. SDC Questionnaire Response sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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(SDCBaseQuestionnaire)	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
item	SC	0..*	BackboneElement	Groups and questions qrs-1: Nested item can't be beneath both item and answer
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	Name for group or question text
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:ordinalValue		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]	S	0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDate			date
valueDateTime			dateTime
valueTime			time
valueDecimal			decimal
valueInteger			integer
valueString			string
valueCoding			Coding
valueUri			uri
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Any)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
QuestionnaireResponse.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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()

This structure is derived from SDCQuestionnaireResponse

Summary

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponse	This is an abstract profile. SDC Questionnaire Response dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..1	Identifier	Unique id for this set of answers ele-1: All FHIR elements must have a @value or children
questionnaire	SΣ	1..1	canonical(SDCBaseQuestionnaire)	Form being answered ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. ele-1: All FHIR elements must have a @value or children
subject	SΣ	0..1	Reference(Resource)	The subject of the questions ele-1: All FHIR elements must have a @value or children
authored	SΣ	1..1	dateTime	Date the answers were gathered ele-1: All FHIR elements must have a @value or children
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers ele-1: All FHIR elements must have a @value or children
item	SC	0..*	BackboneElement	Groups and questions ele-1: All FHIR elements must have a @value or children qrs-1: Nested item can't be beneath both item and answer
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:ItemSignature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
linkId	S	1..1	string	Pointer to specific item from Questionnaire ele-1: All FHIR elements must have a @value or children
text	S	0..1	string	Name for group or question text ele-1: All FHIR elements must have a @value or children
answer	S	0..*	BackboneElement	The response(s) to the question ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:ordinalValue		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
value[x]	S	0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. ele-1: All FHIR elements must have a @value or children
valueBoolean			boolean
valueDate			date
valueDateTime			dateTime
valueTime			time
valueDecimal			decimal
valueInteger			integer
valueString			string
valueCoding			Coding
valueUri			uri
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Any)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions ele-1: All FHIR elements must have a @value or children
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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()

Differential View

This structure is derived from SDCQuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	SDCQuestionnaireResponse	This is an abstract profile. SDC Questionnaire Response
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	C	0..*	SDCQuestionnaireResponse	This is an abstract profile. SDC Questionnaire Response sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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(SDCBaseQuestionnaire)	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
item	SC	0..*	BackboneElement	Groups and questions qrs-1: Nested item can't be beneath both item and answer
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	Name for group or question text
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:ordinalValue		0..1	decimal	Assigned Ordinal Value URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]	S	0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDate			date
valueDateTime			dateTime
valueTime			time
valueDecimal			decimal
valueInteger			integer
valueString			string
valueCoding			Coding
valueUri			uri
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Any)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
QuestionnaireResponse.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
QuestionnaireResponse.status	required	QuestionnaireResponseStatus http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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()

This structure is derived from SDCQuestionnaireResponse

Summary

Other representations of profile: CSV, Excel, Schematron