| OntarioSDCQuestionnaireResponse (QuestionnaireResponse) | C | | QuestionnaireResponse | Element idQuestionnaireResponse Short descriptionGeneric Questionnaire Response Alternate namesForm, QuestionnaireAnswers, Form Data DefinitionSets expectations for supported capabilities for questionnaire responses for SDC-conformant systems.
CommentsThe 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.
Data typeQuestionnaireResponse Constraints- dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.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 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-6: A resource should have narrative for robust management
text.`div`.exists() - dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty() - sdcqr-1: 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: 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: 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 Mappings- rim: Entity. Role, or Act
- workflow: Event
- rim: Observation[moodCode=EVN]
|
| id | Σ | 0..1 | string | There are no (further) constraints on this element Element idQuestionnaireResponse.id Short descriptionLogical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
CommentsThe only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Data typestring |
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idQuestionnaireResponse.meta Short descriptionMetadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Data typeMeta ConditionsThe 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() or (children().count() > id.count()) Mappings |
| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idQuestionnaireResponse.implicitRules Short descriptionA set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
CommentsAsserting 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Data typeuri ConditionsThe 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() or (children().count() > id.count()) Mappings |
| language | | 0..1 | codeBinding | There are no (further) constraints on this element Element idQuestionnaireResponse.language Short descriptionLanguage of the resource content DefinitionThe base language in which the resource is written.
CommentsLanguage 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 typecode BindingCommonLanguages (preferred) Binding extensionsConditionsThe 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() or (children().count() > id.count()) Mappings |
| text | | 0..1 | Narrative | There are no (further) constraints on this element Element idQuestionnaireResponse.text Short descriptionText summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can 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.
CommentsContained 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 information is added later.
Data typeNarrative ConditionsThe 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() or (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 idQuestionnaireResponse.contained Short descriptionContained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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.
CommentsThis 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Data typeResource Mappings- rim: Entity. Role, or Act
- rim: N/A
|
| extension | C | 0..* | Extension | Element idQuestionnaireResponse.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
CommentsThere 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 typeExtension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
| adheresTo | C | 0..* | Extension(canonical(ActivityDefinition | Measure | ObservationDefinition | PlanDefinition | Questionnaire)Reference(ActivityDefinition | Measure | ObservationDefinition | PlanDefinition | Questionnaire)uri) | Element idQuestionnaireResponse.extension:adheresTo Short descriptionFollows rules from Alternate namesextensions, user content DefinitionThe action represented by this resource has been determined to satisfy the expectations established by the referenced Definition resource.
CommentsIf changes are made to this event record, the determination must be made whether, with the change, the action still complies with the referenced Definition. Revisions may result in adheresTo assertions being removed, or - if the system has an algorithm for determining which targets are appropriate - being added. Adherence may be asserted after the fact. It is possible for a Request or Event to adhere to a Definition even if the author/performer of the action was not aware of the Definition at the time the action was taken/requested.
Also see the notes in the workflow extensions area for more guidance on this element.
Data typeExtension(canonical(ActivityDefinition | Measure | ObservationDefinition | PlanDefinition | Questionnaire)Reference(ActivityDefinition | Measure | ObservationDefinition | PlanDefinition | Questionnaire)uri) Extension URLhttp://hl7.org/fhir/StructureDefinition/workflow-adheresTo ConditionsThe 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() or (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
- v2: Varies by domain
- rim: .outboundRelationship[typeCode=DEFN].target
|
| id | | 0..1 | string | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:adheresTo.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:adheresTo.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
CommentsThere 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 typeExtension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
| url | | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:adheresTo.url Short descriptionidentifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL.
CommentsThe definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Data typeuri Fixed valuehttp://hl7.org/fhir/StructureDefinition/workflow-adheresTo Mappings |
| value[x] | | 1..1 | | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:adheresTo.value[x] Short descriptionValue of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
ConditionsThe 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() or (children().count() > id.count()) Mappings |
| valueCanonical | | | canonical(ActivityDefinition | PlanDefinition) | Data type canonical(ActivityDefinition | PlanDefinition) |
| valueReference | | | Reference(ActivityDefinition | PlanDefinition) | Data type Reference(ActivityDefinition | PlanDefinition) |
| valueUri | | | uri | Data type uri |
| triggeredBy | C | 0..1 | Extension(canonical(ActivityDefinition | Measure | ObservationDefinition | PlanDefinition | Questionnaire)Reference(ActivityDefinition | Measure | ObservationDefinition | PlanDefinition | Questionnaire)uri) | Element idQuestionnaireResponse.extension:triggeredBy Short descriptionCreated because of following Alternate namesextensions, user content DefinitionThis resource came into being as a result of expectations set in the referenced Definition resource. I.e. This resource represents a 'step' dictated within the protocol/order set/etc.
CommentsSee the notes in the workflow extensions area for more guidance on this element.
Data typeExtension(canonical(ActivityDefinition | Measure | ObservationDefinition | PlanDefinition | Questionnaire)Reference(ActivityDefinition | Measure | ObservationDefinition | PlanDefinition | Questionnaire)uri) Extension URLhttp://hl7.org/fhir/StructureDefinition/workflow-triggeredBy ConditionsThe 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() or (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
- v2: Varies by domain
- rim: .outboundRelationship[typeCode=DEFN].target
|
| id | | 0..1 | string | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:triggeredBy.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:triggeredBy.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
CommentsThere 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 typeExtension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
| url | | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:triggeredBy.url Short descriptionidentifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL.
CommentsThe definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Data typeuri Fixed valuehttp://hl7.org/fhir/StructureDefinition/workflow-triggeredBy Mappings |
| value[x] | | 1..1 | | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:triggeredBy.value[x] Short descriptionValue of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
ConditionsThe 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() or (children().count() > id.count()) Mappings |
| valueCanonical | | | canonical(ActivityDefinition | PlanDefinition) | Data type canonical(ActivityDefinition | PlanDefinition) |
| valueReference | | | Reference(ActivityDefinition | PlanDefinition) | Data type Reference(ActivityDefinition | PlanDefinition) |
| valueUri | | | uri | Data type uri |
| signature | O C | 0..* | Extension(Signature) | Element idQuestionnaireResponse.extension:signature Short descriptionA signature attesting to the content Alternate namesextensions, user content DefinitionRepresents a wet or electronic signature for either the form overall or for the question or item it's associated with.
CommentsThere 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 typeExtension(Signature) Extension URLhttp://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() MappingsObligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | MAY:populate |
|
| completionMode | C | 0..1 | Extension(CodeableConcept) | Element idQuestionnaireResponse.extension:completionMode Short descriptionE.g. Verbal, written, electronic Alternate namesextensions, user content DefinitionIndicates how the individual completing the QuestionnaireResponse provided their responses.
CommentsThere 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 typeExtension(CodeableConcept) Extension URLhttp://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
| source | C | 0..1 | Extension(Reference) | Element idQuestionnaireResponse.extension:source Short descriptionThe individual or device that answered the questions Alternate namesextensions, user content DefinitionThe individual or device that answered the questions about the subject.
CommentsQuestionnaireResponse.source maps to R4 QuestionnaireResponse.source. So is mapped as Equivalent.
Data typeExtension(Reference) Extension URLhttp://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
| id | | 0..1 | string | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:source.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:source.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
CommentsThere 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 typeExtension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
| url | | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:source.url Short descriptionidentifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL.
CommentsThe definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Data typeuri Fixed valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source Mappings |
| value[x] | | 0..1 | | There are no (further) constraints on this element Element idQuestionnaireResponse.extension:source.value[x] Short descriptionThe individual or device that answered the questions DefinitionThe individual or device that answered the questions about the subject.
CommentsQuestionnaireResponse.source maps to R4 QuestionnaireResponse.source. So is mapped as Equivalent.
ConditionsThe 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() or (children().count() > id.count()) Mappings |
| valueReference | | | Reference(Device | Organization) | Data type Reference(Device | Organization) |
| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idQuestionnaireResponse.modifierExtension Short descriptionExtensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
CommentsThere 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 typeExtension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
| identifier | O Σ | 0..1 | Identifier | Element idQuestionnaireResponse.identifier Short descriptionUnique id for this set of answers DefinitionA business identifier assigned to a particular completed (or partially completed) questionnaire.
RequirementsUsed for tracking, registration and other business purposes.
Data typeIdentifier ConditionsThe 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() or (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 - 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
- workflow: Event.identifier
- w5: FiveWs.identifier
- rim: .id
Obligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate |
|
| basedOn | Σ C | 0..* | Reference(CarePlan | ServiceRequest) | There are no (further) constraints on this element Element idQuestionnaireResponse.basedOn Short descriptionRequest fulfilled by this QuestionnaireResponse Alternate namesorder DefinitionThe order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse. For example, a ServiceRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression.
RequirementsSupports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.
CommentsReferences 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 typeReference(CarePlan | ServiceRequest) ConditionsThe 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() or (children().count() > id.count()) - ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) Mappings- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- workflow: Event.basedOn
- rim: .outboundRelationship[typeCode=FLFS].target
|
| partOf | Σ C | 0..* | Reference(Observation | Procedure) | There are no (further) constraints on this element Element idQuestionnaireResponse.partOf Short descriptionPart of this action DefinitionA 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.
CommentsComposition 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 typeReference(Observation | Procedure) ConditionsThe 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() or (children().count() > id.count()) - ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) Mappings- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- workflow: Event.partOf
- rim: .inboundRelationship[typeCode=COMP].source[moodCode=EVN]
|
| questionnaire | O Σ | 1..1 | canonical(OntarioSDCQuestionnaire) | Element idQuestionnaireResponse.questionnaire Short descriptionForm being answered Alternate namesForm DefinitionThe Questionnaire that defines and organizes the questions for which answers are being provided.
RequirementsNeeded to allow editing of the questionnaire response in a manner that enforces the constraints of the original form.
CommentsIf 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 typecanonical(OntarioSDCQuestionnaire) ConditionsThe 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() or (children().count() > id.count()) Mappings- rim: n/a
- workflow: Event.instantiates
- rim: ./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]
Obligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate |
|
| status | O Σ ?! | 1..1 | codeBinding | Element idQuestionnaireResponse.status Short descriptionin-progress | completed | amended | entered-in-error | stopped DefinitionThe position of the questionnaire response within its overall lifecycle.
RequirementsThe information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished.
CommentsThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Data typecode BindingLifecycle status of the questionnaire response.
QuestionnaireResponseStatus (required) ConditionsThe 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() or (children().count() > id.count()) Mappings- rim: n/a
- workflow: Event.status
- w5: FiveWs.status
- rim: .statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)
Obligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:process |
|
| subject | O Σ C | 0..1 | Reference(Resource) | Element idQuestionnaireResponse.subject Short descriptionThe subject of the questions Alternate namesPatient, Focus DefinitionThe 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.
RequirementsAllows linking the answers to the individual the answers describe. May also affect access control.
CommentsIf the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.
If subject is omitted - because the QuestionnaireResponse is not associated with a specific subject, ensure that QuestionnaireRsponse.identifier is present or the QuestionnaireResponse is referenced somewhere (e.g. Task.output, Composition.section.entry, etc.) to allow tracking and retrieval of the QuestionnaireResponse
Data typeReference(Resource) ConditionsThe 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() or (children().count() > id.count()) - ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) Mappings- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- workflow: Event.subject
- w5: FiveWs.subject[x]
- rim: .participation[typeCode=SBJ].role
- w5: FiveWs.subject
Obligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine | SHALL:process |
|
| encounter | Σ C | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idQuestionnaireResponse.encounter Short descriptionEncounter created as part of DefinitionThe Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated.
RequirementsProvides context for the information that was captured. May also affect access control.
CommentsThis will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.
Data typeReference(Encounter) ConditionsThe 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() or (children().count() > id.count()) - ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) Mappings- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- workflow: Event.encounter
- w5: FiveWs.context
- rim: .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
|
| authored | O Σ | 1..1 | dateTime | Element idQuestionnaireResponse.authored Short descriptionDate the answers were gathered Alternate namesDate Created, Date published, Date Issued, Date updated DefinitionIdentifies when this version of the answer set was created. Changes whenever the answers are updated.
RequirementsClinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.
CommentsMay 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 might not know the value, however it SHOULD be populated if possible.
Data typedateTime ConditionsThe 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() or (children().count() > id.count()) Mappings- rim: n/a
- workflow: Event.occurrence[x]
- w5: FiveWs.recorded
- rim: .participation[typeCode=AUT].time
Obligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine | SHALL:process |
|
| author | O Σ C | 0..1 | Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | Element idQuestionnaireResponse.author Short descriptionPerson who received and recorded the answers Alternate namesLaboratory, Service, Practitioner, Department, Company, Performer DefinitionPerson who received the answers to the questions in the QuestionnaireResponse and recorded them in the system.
RequirementsNeed to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.
CommentsMapping 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 typeReference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) ConditionsThe 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() or (children().count() > id.count()) - ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) Mappings- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- workflow: Event.performer
- w5: FiveWs.author
- rim: .participation[typeCode=AUT].role
Obligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine | SHALL:process |
|
| source | Σ C | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | There are no (further) constraints on this element Element idQuestionnaireResponse.source Short descriptionThe person who answered the questions DefinitionThe person who answered the questions about the subject.
RequirementsWhen answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions.
CommentsIf not specified, no inference can be made about who provided the data.
Data typeReference(Patient | Practitioner | PractitionerRole | RelatedPerson) ConditionsThe 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() or (children().count() > id.count()) - ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) Mappings- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- w5: FiveWs.source
- rim: .participation[typeCode=INF].role
|
| item | O C | 0..* | BackboneElement | Element idQuestionnaireResponse.item Short descriptionGroups and questions DefinitionA group or question item from the original questionnaire for which answers are provided.
CommentsGroups 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 typeBackboneElement ConditionsThe 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() or (children().count() > id.count()) - qrs-1: Nested item can't be beneath both item and answer
(answer.exists() and item.exists()).not() - qrs-2: Repeated answers are combined in the answers array of a single item
repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() Mappings- rim: n/a
- rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
Obligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator | SHALL:process |
|
| id | | 0..1 | string | There are no (further) constraints on this element Element idQuestionnaireResponse.item.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
| extension | C | 0..* | Extension | Element idQuestionnaireResponse.item.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
CommentsThere 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 typeExtension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
| itemMedia | O C | 0..1 | Extension(Attachment) | Element idQuestionnaireResponse.item.extension:itemMedia Short descriptionMedia to display Alternate namesextensions, user content DefinitionMedia to render/make available as an accompaniment to the question being asked
CommentsThere 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 typeExtension(Attachment) Extension URLhttp://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() MappingsObligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:display | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:user-input |
|
| ItemSignature | O C | 0..* | Extension(Signature) | Element idQuestionnaireResponse.item.extension:ItemSignature Short descriptionA signature attesting to the content Alternate namesextensions, user content DefinitionRepresents a wet or electronic signature for either the form overall or for the question or item it's associated with.
CommentsThere 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 typeExtension(Signature) Extension URLhttp://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() MappingsObligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | MAY:populate |
|
| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idQuestionnaireResponse.item.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
CommentsThere 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 typeExtension ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
| linkId | O | 1..1 | string | Element idQuestionnaireResponse.item.linkId Short descriptionPointer to specific item from Questionnaire DefinitionThe item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.
RequirementsItems can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.
CommentsNote that FHIR strings SHALL NOT exceed 1MB in size
Data typestring ConditionsThe 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() or (children().count() > id.count()) Mappings- rim: n/a
- rim: .outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id
Obligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator | SHALL:process |
|
| definition | | 0..1 | uri | There are no (further) constraints on this element Element idQuestionnaireResponse.item.definition Short descriptionElementDefinition - details for the item DefinitionRequirementsA 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.
CommentsThe ElementDefinition must be in a StructureDefinition, 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 typeuri ConditionsThe 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() or (children().count() > id.count()) Mappings- rim: n/a
- rim: .outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code
|
| text | O | 0..1 | string | Element idQuestionnaireResponse.item.text Short descriptionName for group or question text DefinitionText that is displayed above the contents of the group or as the text of the question being answered.
RequirementsAllows the questionnaire response to be read without access to the questionnaire.
CommentsNote that FHIR strings SHALL NOT exceed 1MB in size
Data typestring ConditionsThe 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() or (children().count() > id.count()) MappingsObligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:display | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine | SHALL:process |
|
| answer | O | 0..* | BackboneElement | Element idQuestionnaireResponse.item.answer Short descriptionThe response(s) to the question DefinitionThe respondent's answer(s) to the question.
CommentsThe value is nested because we cannot have a repeating structure that has variable type.
Data typeBackboneElement ConditionsThe 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() or (children().count() > id.count()) Mappings- rim: n/a
- rim: .value[type=LIST_ANY]
Obligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator | SHALL:process |
|
| id | | 0..1 | string | There are no (further) constraints on this element Element idQuestionnaireResponse.item.answer.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
| extension | C | 0..* | Extension | Element idQuestionnaireResponse.item.answer.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
CommentsThere 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 typeExtension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
| itemAnswerMedia | O C | 0..1 | Extension(Attachment) | Element idQuestionnaireResponse.item.answer.extension:itemAnswerMedia Short descriptionAnswer Media to display Alternate namesextensions, user content DefinitionMedia to render/make available as an accompaniment to a specific answer option
CommentsThere 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 typeExtension(Attachment) Extension URLhttp://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() MappingsObligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:display |
|
| itemWeight | O C | 0..1 | Extension(decimal) | Element idQuestionnaireResponse.item.answer.extension:itemWeight Short descriptionAssigned Ordinal Value Alternate namesextensions, user content DefinitionA numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores. In the CodeSystem and ValueSet resources, the item weight is represented using the itemWeight property. In questionnaires, this extension goes on answerOption where possible.
CommentsInclusion of weights in QRs can increase performance when calculating based on weights.
Data typeExtension(decimal) Extension URLhttp://hl7.org/fhir/StructureDefinition/itemWeight ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() MappingsObligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine | SHALL:process |
|
| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idQuestionnaireResponse.item.answer.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
CommentsThere 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 typeExtension ConditionsThe 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() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
| value[x] | O | 0..1 | | Element idQuestionnaireResponse.item.answer.value[x] Short descriptionSingle-valued answer to the question DefinitionThe answer (or one of the answers) provided by the respondent to the question.
RequirementsAbility to retain a single-valued answer to a question.
CommentsMore 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. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.
BindingCode indicating the response provided for a question.
QuestionnaireAnswerCodes (example) ConditionsThe 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() or (children().count() > id.count()) MappingsObligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:display | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:user-input | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator | SHALL:process |
|
| valueAttachment | | | Attachment | There are no (further) constraints on this element Data typeAttachment |
| valueBoolean | | | boolean | There are no (further) constraints on this element Data typeboolean |
| valueCoding | | | Coding | There are no (further) constraints on this element Data typeCoding |
| valueDate | | | date | There are no (further) constraints on this element Data typedate |
| valueDateTime | | | dateTime | There are no (further) constraints on this element Data typedateTime |
| valueDecimal | | | decimal | There are no (further) constraints on this element Data typedecimal |
| valueInteger | | | integer | There are no (further) constraints on this element Data typeinteger |
| valueQuantity | | | Quantity | There are no (further) constraints on this element Data typeQuantity |
| valueReference | | | Reference(Resource) | There are no (further) constraints on this element Data typeReference(Resource) |
| valueString | | | string | There are no (further) constraints on this element Data typestring |
| valueTime | | | time | There are no (further) constraints on this element Data typetime |
| valueUri | | | uri | There are no (further) constraints on this element Data typeuri |
| item | O | 0..* | see (item) | Element idQuestionnaireResponse.item.answer.item Short descriptionNested groups and questions DefinitionNested groups and/or questions found within this particular answer.
RequirementsIt 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]
Obligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:display | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator | SHALL:process |
|
| item | O | 0..* | see (item) | Element idQuestionnaireResponse.item.item Short descriptionNested questionnaire response items DefinitionQuestions or sub-groups nested beneath a question or group.
RequirementsReports can consist of complex nested groups.
Mappings- rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
Obligations| Actor | Code |
|---|
| http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:populate | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:display | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine | SHALL:process | | http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator | SHALL:process |
|