Patient Care Coordination (PCC) Implementation Guide
0.1.1-current - ci-build
Patient Care Coordination (PCC) Implementation Guide
0.1.1-current - ci-build
Patient Care Coordination (PCC) Implementation Guide - Local Development build (v0.1.1-current) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir.virtually.healthcare/StructureDefinition/QuestionnaireResponse | Version: 0.1.1-current | |||
| Draft as of 2025-11-05 | Computable Name: QuestionnaireResponse | |||
Based on HL7 Structured Data Capture
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  QuestionnaireResponse |
0..* | QuestionnaireResponse | A structured set of questions and their answers | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
SΣ | 1..1 | Identifier | Identifier of the completed form. Required for POST operations |
| questionnaire |
SΣ | 1..1 | canonical(Questionnaire) | Form being answered |
| status |
?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. |
 subject |
SΣ | 1..1 | Reference(Patient) | The subject of the questions |
  identifier |
Σ | 0..1 | NHSNumber | Logical reference, when literal reference is not known |
| encounter |
Σ | 0..1 | Reference(Encounter) | The encounter where the data was captured in. Required for GP system writeaback, optional for CDR |
| authored |
SΣ | 0..1 | dateTime | When the form was completed. Required for POST operations |
| author |
SΣ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Person who received and recorded the answers |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| QuestionnaireResponse.status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from QuestionnaireResponse
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| QuestionnaireResponse |
0..* | QuestionnaireResponse | A structured set of questions and their answers | |
 identifier |
S | 1..1 | Identifier | Identifier of the completed form. Required for POST operations |
| questionnaire |
S | 1..1 | canonical(Questionnaire) | Form being answered |
| subject |
S | 1..1 | Reference(Patient) | The subject of the questions |
| identifier |
0..1 | NHSNumber | Logical reference, when literal reference is not known | |
| encounter |
0..1 | Reference(Encounter) | The encounter where the data was captured in. Required for GP system writeaback, optional for CDR | |
| authored |
S | 0..1 | dateTime | When the form was completed. Required for POST operations |
| author |
S | 0..1 | Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Person who received and recorded the answers |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| QuestionnaireResponse |
0..* | QuestionnaireResponse | A structured set of questions and their 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | Identifier of the completed form. Required for POST operations | ||||
| 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(Questionnaire) | Form being answered | ||||
| status |
?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. | ||||
| subject |
SΣ | 1..1 | Reference(Patient) | The subject of the questions | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | NHSNumber | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | The encounter where the data was captured in. Required for GP system writeaback, optional for CDR | ||||
| authored |
SΣ | 0..1 | dateTime | When the form was completed. Required for POST operations | ||||
| 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 |
C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1 | ||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| linkId |
1..1 | string | Pointer to specific item from Questionnaire | |||||
| definition |
0..1 | uri | ElementDefinition - details for the item | |||||
| text |
0..1 | string | Name for group or question text | |||||
| answer |
0..* | BackboneElement | The response(s) to the question | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
 value[x] |
0..1 | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. | ||||||
| valueBoolean |
boolean | |||||||
| valueDecimal |
decimal | |||||||
| valueInteger |
integer | |||||||
| valueDate |
date | |||||||
| valueDateTime |
dateTime | |||||||
| valueTime |
time | |||||||
| valueString |
string | |||||||
| valueUri |
uri | |||||||
| valueAttachment |
Attachment | |||||||
| valueCoding |
Coding | |||||||
| valueQuantity |
Quantity | |||||||
| valueReference |
Reference(Resource) | |||||||
| item |
0..* | See item (QuestionnaireResponse) | Nested groups and questions | |||||
| item |
0..* | See item (QuestionnaireResponse) | Nested questionnaire response items | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| QuestionnaireResponse.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer |
(answer.exists() and item.exists()).not()
|
This structure is derived from QuestionnaireResponse
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| QuestionnaireResponse |
0..* | QuestionnaireResponse | A structured set of questions and their answers | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
SΣ | 1..1 | Identifier | Identifier of the completed form. Required for POST operations |
| questionnaire |
SΣ | 1..1 | canonical(Questionnaire) | Form being answered |
| status |
?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. |
| subject |
SΣ | 1..1 | Reference(Patient) | The subject of the questions |
| identifier |
Σ | 0..1 | NHSNumber | Logical reference, when literal reference is not known |
| encounter |
Σ | 0..1 | Reference(Encounter) | The encounter where the data was captured in. Required for GP system writeaback, optional for CDR |
| authored |
SΣ | 0..1 | dateTime | When the form was completed. Required for POST operations |
| author |
SΣ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Person who received and recorded the answers |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| QuestionnaireResponse.status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from QuestionnaireResponse
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| QuestionnaireResponse |
0..* | QuestionnaireResponse | A structured set of questions and their answers | |
| identifier |
S | 1..1 | Identifier | Identifier of the completed form. Required for POST operations |
| questionnaire |
S | 1..1 | canonical(Questionnaire) | Form being answered |
| subject |
S | 1..1 | Reference(Patient) | The subject of the questions |
| identifier |
0..1 | NHSNumber | Logical reference, when literal reference is not known | |
| encounter |
0..1 | Reference(Encounter) | The encounter where the data was captured in. Required for GP system writeaback, optional for CDR | |
| authored |
S | 0..1 | dateTime | When the form was completed. Required for POST operations |
| author |
S | 0..1 | Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Person who received and recorded the answers |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| QuestionnaireResponse |
0..* | QuestionnaireResponse | A structured set of questions and their 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | Identifier of the completed form. Required for POST operations | ||||
| 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(Questionnaire) | Form being answered | ||||
| status |
?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. | ||||
| subject |
SΣ | 1..1 | Reference(Patient) | The subject of the questions | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | NHSNumber | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | The encounter where the data was captured in. Required for GP system writeaback, optional for CDR | ||||
| authored |
SΣ | 0..1 | dateTime | When the form was completed. Required for POST operations | ||||
| 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 |
C | 0..* | BackboneElement | Groups and questions Constraints: qrs-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| linkId |
1..1 | string | Pointer to specific item from Questionnaire | |||||
| definition |
0..1 | uri | ElementDefinition - details for the item | |||||
| text |
0..1 | string | Name for group or question text | |||||
| answer |
0..* | BackboneElement | The response(s) to the question | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| value[x] |
0..1 | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. | ||||||
| valueBoolean |
boolean | |||||||
| valueDecimal |
decimal | |||||||
| valueInteger |
integer | |||||||
| valueDate |
date | |||||||
| valueDateTime |
dateTime | |||||||
| valueTime |
time | |||||||
| valueString |
string | |||||||
| valueUri |
uri | |||||||
| valueAttachment |
Attachment | |||||||
| valueCoding |
Coding | |||||||
| valueQuantity |
Quantity | |||||||
| valueReference |
Reference(Resource) | |||||||
| item |
0..* | See item (QuestionnaireResponse) | Nested groups and questions | |||||
| item |
0..* | See item (QuestionnaireResponse) | Nested questionnaire response items | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| QuestionnaireResponse.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer |
(answer.exists() and item.exists()).not()
|
This structure is derived from QuestionnaireResponse
Other representations of profile: CSV, Excel, Schematron