Questionnaireresponse.profile.xml - FHIR v5.0.0-draft-final

This page is part of the FHIR Specification ~~(v4.3.0: R4B~~ (v5.0.0-draft-final: Final QA Preview for R5 - ~~STU~~ see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

~~Questionnaireresponse.profile.xml~~

Example StructureDefinition/QuestionnaireResponse (XML)

FHIR Infrastructure Work Group

Maturity Level : N/A

Standards Status : Informative

Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

StructureDefinition for questionnaireresponse

<?xml version="1.0" encoding="UTF-8"?> vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg oAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCs PVYVAgIJrA/sAAAAASUVORK5CYII=) data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3 RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwN dCABMPwMo2ctnoQAAAABJRU5ErkJggg== data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAACCE lEQVQ4y4XTv2sUQRTA8e9Mzt3kjoOLSXFgZ6GJQlALCysLC89OsLTXv0VFxE4stRAEQUghSWEXuM4qMZpATsUD70dyMdnduZ15z2I vMV5IfDDNm5nPm59GVTkpms1mTVXvhxDuichlEZn03m+KyJL3/mWj0fiKqp7YVlZWXrfbbR2PTqeji4uLn1WVEqdECKFRr9eP5Wdn Z/HeXwROB0TEA3S7XarVKiLC1tYW8/PzeO/5LxBCUABrLXEc02q1KJfLB30F0P144dPU9LVL1kwcrU06WP0ewhML4JwDYDgcHo7I8 7wAjNq5ypU3Z8arT8F5u/xejw52zmGM+Rcg1wyIcc/BTYCdBlODyh3ElA1AHMekaUoURURRBECWZSNgaGzBxxAU9jfQ9jrJr2dcbb XobRYHlQAzo9X1gDR9+KUArE6CwLefZD9WCW6P0uRZKreXqADkHXZ3dshzjwRholJH397AOXcTwHTfzQ1n7q6NnYEAy+DWQVNwKWQ J6vcx557Se7HAzIN1M9rCwVteA/rAYDRRICQgSZEr7WLYO3bzJVJGQBu0D74PkoHkoBnIHvjfkO9AGABmDHCjFWgH8i7kPQh9yEeY H4DfLhBJgA2A7BBQJ9uwXWY3rhJqFo1AaiB1CBngwKZQcqAeSFSduL9Akj7qPF64jnALS5VTPwdgPwwJ+uog9Qcx4kRZiPKqxgAAA ABJRU5ErkJggg== QuestionnaireResponse : A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to. vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color: black; background-color: #fff5e6 vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4pxA structured set of questions and their answers Elements defined in Ancestors: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes., The 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., A 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., , A 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., These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope., May 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., May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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). vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB ORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6E EQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=) data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3 RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwN dCABMPwMo2ctnoQAAAABJRU5ErkJggg== data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3 RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7 /2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQka d4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRPz 58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPvs zv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866OU Pvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if 3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYw bdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSF VResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7 QuestionnaireResponse.identifier : A business identifier assigned to a particular completed (or partially completed) questionnaire. vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg oAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCs PVYVAgIJrA/sAAAAASUVORK5CYII=) data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3 RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwN dCABMPwMo2ctnoQAAAABJRU5ErkJggg== data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3 RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7 /2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjw v8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEE OACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQK lQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC QuestionnaireResponse.basedOn : The 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. vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px ( | ) vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4pxRequest fulfilled by this QuestionnaireResponse vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB ORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6E EQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=) data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3 RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwN dCABMPwMo2ctnoQAAAABJRU5ErkJggg== data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3 RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7 /2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjw v8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEE OACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQK lQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC QuestionnaireResponse.partOf : A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of. vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px ( | ) vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4pxPart of this action vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg oAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCs PVYVAgIJrA/sAAAAASUVORK5CYII=) data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3 RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwN dCABMPwMo2ctnoQAAAABJRU5ErkJggg== data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3 RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7 /2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjw v8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEE OACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQK lQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC QuestionnaireResponse.questionnaire : The Questionnaire that defines and organizes the questions for which answers are being provided. vertical-align: top; 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There is no time zone. The format is a union of the schema types gYear, gYearMonth and date. 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If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored. 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text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4pxsee vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4pxNested questionnaire response items Documentation for this format A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to. To support structured, hierarchical reporting of data gathered using digital forms and other questionnaires. A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to. The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse. 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.exists() and ('#'+id in (%resource.descendants().reference | %resource.descenda nts().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(uri) = '#').exists()).not()).trace('unmatched', id).empty() not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:refere nce/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))])) If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time. The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. The 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. A 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. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 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. This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A 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. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefi nition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorizat ion or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic) not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:Package dProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedA uthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citatio n|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDe finition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingre dient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition| f:SubscriptionStatus|f:SubscriptionTopic) May 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. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Modifier 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](extensibility.ht ml#modifierExtension). Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them The 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. Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon. A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of. Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire. For relationships to referrals, and other types of requests, use basedOn. The Questionnaire that defines and organizes the questions for which answers are being provided. If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.). Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished. This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid .statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published) The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information. If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types. Allows linking the answers to the individual the answers describe. May also affect access control. The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated. This 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. May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured. This element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible. Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers. Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system. Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated. Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers. When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions. Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer). Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. May 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. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element 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). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Modifier 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](extensibility.ht ml#modifierExtension). Modifier extensions are expected to modify the meaning or interpretation of the element that contains them The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource. Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier. A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item. The ElementDefinition must be in a [StructureDefinition](structuredefinition.html#), 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. A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition. Text that is displayed above the contents of the group or as the text of the question being answered. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. May 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. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element 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). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Modifier 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](extensibility.ht ml#modifierExtension). Modifier extensions are expected to modify the meaning or interpretation of the element that contains them More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire. It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details. A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to. The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse. The 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. Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon. A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of. Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire. For relationships to referrals, and other types of requests, use basedOn. The Questionnaire that defines and organizes the questions for which answers are being provided. If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.). Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished. This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid .statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published) The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information. If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types. Allows linking the answers to the individual the answers describe. May also affect access control. The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated. This 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. May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured. This element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible. Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers. Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system. Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated. Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers. When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions. Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer). The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource. Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier. A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item. The ElementDefinition must be in a [StructureDefinition](structuredefinition.html#), 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. A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition. Text that is displayed above the contents of the group or as the text of the question being answered. More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire. It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

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            <span title="QuestionnaireResponse : A structured set of questions and their answers. The questions
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            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
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             resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed,
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            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> ,             <a href="domainresource.html#DomainResource" title="A 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
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
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            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that
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             of the resource. To make the use of extensions safe and managable, 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.">extension</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource and that modifies the understanding of the element that contains
             it and/or the understanding of the containing element's descendants. Usually modifier
             elements provide negation or qualification. To make the use of extensions safe
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             use of extensions. Though any implementer is allowed to define an extension, there
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Modifier extensions SHALL NOT change the meaning of any elements on Resource or
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            <span title="QuestionnaireResponse.identifier : A business identifier assigned to a particular
             completed (or partially completed) questionnaire.">identifier</span> 
            <a name="QuestionnaireResponse.identifier"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Unique id for this set of answers
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         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="QuestionnaireResponse.basedOn : The 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.">basedOn</span> 
            <a name="QuestionnaireResponse.basedOn"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="careplan.html">CarePlan</a>  |             <a href="servicerequest.html">ServiceRequest</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            <span title="QuestionnaireResponse.partOf : A procedure or observation that this questionnaire
             was performed as part of the execution of.  For example, the surgery a checklist
             was executed as part of.">partOf</span> 
            <a name="QuestionnaireResponse.partOf"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="observation.html">Observation</a>  |             <a href="procedure.html">Procedure</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Part of this action
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            <span title="QuestionnaireResponse.questionnaire : The Questionnaire that defines and organizes
             the questions for which answers are being provided.">questionnaire</span> 
            <a name="QuestionnaireResponse.questionnaire"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#canonical">canonical</a> (            <a href="questionnaire.html">Questionnaire</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Canonical URL of Questionnaire being answered
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="QuestionnaireResponse.status : The position of the questionnaire response within
             its overall lifecycle.">status</span> 
            <a name="QuestionnaireResponse.status"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a>             <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">in-progress | completed | amended | entered-in-error | stopped
            <br/>  Binding:             <a href="valueset-questionnaire-answers-status.html">Questionnaire Response Status</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="resourcelist.html">Any</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <span title="QuestionnaireResponse.author : The individual or device that received the answers
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="references.html#Reference">Reference</a> (            <a href="device.html">Device</a>  |             <a href="practitioner.html">Practitioner</a>  |             <a href="practitionerrole.html">PractitionerRole</a>  |             <a href="patient.html">Patient</a>  |             <a href="relatedperson.html">RelatedPerson</a>  |             <a href="organization.html">Organization</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">The individual or device that received and recorded the answers
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <span title="QuestionnaireResponse.source : The individual or device that answered the questions
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="device.html">Device</a>  |             <a href="organization.html">Organization</a>  |             <a href="patient.html">Patient</a>  |             <a href="practitioner.html">Practitioner</a>  |             <a href="practitionerrole.html">PractitionerRole</a>  |             <a href="relatedperson.html">RelatedPerson</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">The individual or device that answered the questions
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="QuestionnaireResponse.item : A group or question item from the original questionnaire
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            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
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          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Groups and questions
            <br/>              <span style="font-style: italic" title="qrs-1">+ Rule: Item cannot contain both item and answer</span>             <br/>              <span style="font-style: italic" title="qrs-2">+ Rule: Repeated answers are combined in the answers array of a single item</span>             <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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  <jurisdiction>     <coding>       <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>       <code value="001"/>       <display value="World"/>     </coding>   </jurisdiction>   <purpose value="To support structured, hierarchical reporting of data gathered using digital forms
   and other questionnaires."/> 
  <fhirVersion value="5.0.0-draft-final"/>   <mapping>     <identity value="workflow"/>     <uri value="http://hl7.org/fhir/workflow"/>     <name value="Workflow Pattern"/>   </mapping>   <mapping>     <identity value="rim"/>     <uri value="http://hl7.org/v3"/>     <name value="RIM Mapping"/>   </mapping>   <mapping>     <identity value="w5"/>     <uri value="http://hl7.org/fhir/fivews"/>     <name value="FiveWs Pattern Mapping"/>   </mapping>   <kind value="resource"/>   <abstract value="false"/>   <type value="QuestionnaireResponse"/>   <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>   <derivation value="specialization"/>   <snapshot>     <element id="QuestionnaireResponse">      <path value="QuestionnaireResponse"/>       <short value="A structured set of questions and their answers"/>       <definition value="A structured set of questions and their answers. The questions are ordered and
       grouped into coherent subsets, corresponding to the structure of the grouping of
       the questionnaire being responded to."/> 
      <comment value="The QuestionnaireResponse contains enough information about the questions asked
       and their organization that it can be interpreted somewhat independently from the
       Questionnaire it is based on.  I.e. You don't need access to the Questionnaire
       in order to extract basic information from a QuestionnaireResponse."/> 
      <alias value="Form"/>       <alias value="QuestionnaireAnswers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="QuestionnaireResponse"/>         <min value="0"/>         <max value="*"/>       </base>       <constraint>         <key value="dom-2"/>         <severity value="error"/>         <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>         <expression value="contained.contained.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-3"/>         <severity value="error"/>         <human value="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"/> 
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofTy
        pe(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url)))
         or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical)
         = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmat
        ched', id).empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-4"/>         <severity value="error"/>         <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId
         or a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-5"/>         <severity value="error"/>         <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/>         <expression value="contained.meta.security.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">          <valueBoolean value="true"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can
           display the resource to a human safely. Including a human readable representation
           in the resource makes for a much more robust eco-system and cheaper handling of
           resources by intermediary systems. Some ecosystems restrict distribution of resources
           to only those systems that do fully understand the resources, and as a consequence
           implementers may believe that the narrative is superfluous. However experience
           shows that such eco-systems often open up to new participants over time."/> 
        </extension>         <key value="dom-6"/>         <severity value="warning"/>         <human value="A resource should have narrative for robust management"/>         <expression value="text.`div`.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="Entity. Role, or Act"/>       </mapping>       <mapping>         <identity value="workflow"/>         <map value="Event"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="Observation[moodCode=EVN]"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="infrastructure.information"/>       </mapping>     </element>     <element id="QuestionnaireResponse.id">      <path value="QuestionnaireResponse.id"/>       <short value="Logical id of this artifact"/>       <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except
       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="id"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="QuestionnaireResponse.meta">      <path value="QuestionnaireResponse.meta"/>       <short value="Metadata about the resource"/>       <definition value="The 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."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.meta"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Meta"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="QuestionnaireResponse.implicitRules">      <path value="QuestionnaireResponse.implicitRules"/>       <short value="A set of rules under which this content was created"/>       <definition value="A 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."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited
       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of its narrative along with other profiles,
       value sets, etc."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.implicitRules"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="uri"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies its meaning or interpretation"/> 
      <isSummary value="true"/>     </element>     <element id="QuestionnaireResponse.language">      <path value="QuestionnaireResponse.language"/>       <short value="Language of the resource content"/>       <definition value="The base language in which the resource is written."/>       <comment value="Language is provided to support indexing and accessibility (typically, services
       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5
       for information about the relationship between xml:lang and the html lang attribute)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.language"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Language"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="IETF language tag for a human language"/>         <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final"/>         <additional>           <purpose value="starter"/>           <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>         </additional>       </binding>     </element>     <element id="QuestionnaireResponse.text">      <path value="QuestionnaireResponse.text"/>       <short value="Text summary of the resource, for human interpretation"/>       <definition value="A 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
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a 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 &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 
      <alias value="narrative"/>       <alias value="html"/>       <alias value="xhtml"/>       <alias value="display"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="DomainResource.text"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Narrative"/>       </type>       <condition value="dom-6"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="Act.text?"/>       </mapping>     </element>     <element id="QuestionnaireResponse.contained">      <path value="QuestionnaireResponse.contained"/>       <short value="Contained, inline Resources"/>       <definition value="These resources do not have an independent existence apart from the resource that
       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="This should never be done when the content can be identified properly, as once
       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels."/> 
      <alias value="inline resources"/>       <alias value="anonymous resources"/>       <alias value="contained resources"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.contained"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Resource"/>       </type>       <condition value="dom-2"/>       <condition value="dom-4"/>       <condition value="dom-3"/>       <condition value="dom-5"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="QuestionnaireResponse.extension">      <path value="QuestionnaireResponse.extension"/>       <short value="Additional content defined by implementations"/>       <definition value="May 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 managable, 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."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="QuestionnaireResponse.modifierExtension">      <path value="QuestionnaireResponse.modifierExtension"/>       <short value="Extensions that cannot be ignored"/>       <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains
       it 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 managable, 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)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier 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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       resource that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="QuestionnaireResponse.identifier">      <path value="QuestionnaireResponse.identifier"/>       <short value="Unique id for this set of answers"/>       <definition value="A business identifier assigned to a particular completed (or partially completed)
       questionnaire."/> 
      <requirements value="Used for tracking, registration and other business purposes."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="QuestionnaireResponse.identifier"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Identifier"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.identifier"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="QuestionnaireResponse.basedOn">      <path value="QuestionnaireResponse.basedOn"/>       <short value="Request fulfilled by this QuestionnaireResponse"/>       <definition value="The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireRespon
      se.  For example, a ServiceRequest seeking an intake assessment or a decision support
       recommendation to assess for post-partum depression."/> 
      <requirements value="Supports traceability of responsibility for the action and allows linkage of an
       action to the recommendations acted upon."/> 
      <alias value="order"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="QuestionnaireResponse.basedOn"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.basedOn"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=FLFS].target"/>       </mapping>     </element>     <element id="QuestionnaireResponse.partOf">      <path value="QuestionnaireResponse.partOf"/>       <short value="Part of this action"/>       <definition value="A procedure or observation that this questionnaire was performed as part of the
       execution of.  For example, the surgery a checklist was executed as part of."/> 
      <comment value="Composition of questionnaire responses will be handled by the parent questionnaire
       having answers that reference the child questionnaire.  For relationships to referrals,
       and other types of requests, use basedOn."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="QuestionnaireResponse.partOf"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.partOf"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.questionnaire">      <path value="QuestionnaireResponse.questionnaire"/>       <short value="Canonical URL of Questionnaire being answered"/>       <definition value="The Questionnaire that defines and organizes the questions for which answers are
       being provided."/> 
      <comment value="If a QuestionnaireResponse references a Questionnaire that can be resolved, 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.).  It is possible to have a QuestionnaireResponse whose 'questionnaire'
       element does not resolve.  It is also possible for the questionnaire element to
       not have a value but only extensions (e.g. conveying the title or identifier for
       the questionnaire).  This may happen for legacy data.  If there is no formally
       defined Questionnaire, it is undefined what the 'correct' values for the linkId
       elements should be and it is possible that linkIds might be inconsistent for QuestionnaireRes
      ponses for the same form if captured by distinct systems."/> 
      <requirements value="Needed to allow editing of the questionnaire response in a manner that enforces
       the constraints of the original form."/> 
      <alias value="Form"/>       <min value="1"/>       <max value="1"/>       <base>         <path value="QuestionnaireResponse.questionnaire"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.status">      <path value="QuestionnaireResponse.status"/>       <short value="in-progress | completed | amended | entered-in-error | stopped"/>       <definition value="The position of the questionnaire response within its overall lifecycle."/>       <comment value="This element is labeled as a modifier because the status contains codes that mark
       the resource as not currently valid."/> 
      <requirements value="The information on Questionnaire resources  may possibly be gathered during multiple
       sessions and altered after considered being finished."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="QuestionnaireResponse.status"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labelled as a modifier because it is a status element that contains
       status entered-in-error which means that the resource should not be treated as
       valid"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="QuestionnaireResponseStatus"/>         </extension>         <strength value="required"/>         <description value="Lifecycle status of the questionnaire response."/>         <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status|5.0.0-draft-final"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.status"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish
         &quot;in-progress&quot; from &quot;published)"/> 
      </mapping>     </element>     <element id="QuestionnaireResponse.subject">      <path value="QuestionnaireResponse.subject"/>       <short value="The subject of the questions"/>       <definition value="The subject of the questionnaire response.  This could be a patient, organization,
       practitioner, device, etc.  This is who/what the answers apply to, but is not necessarily
       the source of information."/> 
      <comment value="If the Questionnaire declared a subjectType, the resource pointed to by this element
       must be an instance of one of the listed types."/> 
      <requirements value="Allows linking the answers to the individual the answers describe.  May also affect
       access control."/> 
      <alias value="Patient"/>       <alias value="Focus"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="QuestionnaireResponse.subject"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.subject"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.subject[x]"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=SBJ].role"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.subject"/>       </mapping>     </element>     <element id="QuestionnaireResponse.encounter">      <path value="QuestionnaireResponse.encounter"/>       <short value="Encounter created as part of"/>       <definition value="The Encounter during which this questionnaire response was created or to which
       the creation of this record is tightly associated."/> 
      <comment value="This 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."/> 
      <requirements value="Provides context for the information that was captured.  May also affect access
       control."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="QuestionnaireResponse.encounter"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.encounter"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.context"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".inboundRelationship(typeCode=COMP].source[classCode&lt;=PCPR, moodCode=EVN]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.authored">      <path value="QuestionnaireResponse.authored"/>       <short value="Date the answers were gathered"/>       <definition value="The date and/or time that this questionnaire response was last modified by the
       user - e.g. changing answers or revising status."/> 
      <comment value="May be different from the lastUpdateTime of the resource itself, because that reflects
       when the data was known to the server, not when the data was captured.
This element is optional to allow for systems that might not know the value, however
       it SHOULD be populated if possible."/> 
      <requirements value="Clinicians need to be able to check the date that the information in the questionnaire
       was collected, to derive the context of the answers."/> 
      <alias value="Date Created"/>       <alias value="Date published"/>       <alias value="Date Issued"/>       <alias value="Date updated"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="QuestionnaireResponse.authored"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.occurrence[x]"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.recorded"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=AUT].time"/>       </mapping>     </element>     <element id="QuestionnaireResponse.author">      <path value="QuestionnaireResponse.author"/>       <short value="The individual or device that received and recorded the answers"/>       <definition value="The individual or device that received the answers to the questions in the QuestionnaireRespo
      nse and recorded them in the system."/> 
      <comment value="Mapping a subject's answers to multiple choice options and determining what to
       put in the textual answer is a matter of interpretation. Authoring by device would
       indicate that some portion of the questionnaire had been auto-populated. Device
       should only be used if it directly determined the answers, not if it was merely
       used as a capture tool to record answers provided by others. In the latter case,
       information about the physical device, software, etc. would be captured using Provenance."/> 
      <requirements value="Need to know who interpreted the subject's answers to the questions in the questionnaire,
       and selected the appropriate options for answers."/> 
      <alias value="Laboratory"/>       <alias value="Service"/>       <alias value="Practitioner"/>       <alias value="Department"/>       <alias value="Company"/>       <alias value="Performer"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="QuestionnaireResponse.author"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.performer"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.author"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=AUT].role"/>       </mapping>     </element>     <element id="QuestionnaireResponse.source">      <path value="QuestionnaireResponse.source"/>       <short value="The individual or device that answered the questions"/>       <definition value="The individual or device that answered the questions about the subject."/>       <comment value="If not specified, no inference can be made about who provided the data. Device
       should only be used if it directly determined the answers, not if it was merely
       used as a capture tool to record answers provided by others. In the latter case,
       information about the physical device, software, etc. would be captured using Provenance."/> 
      <requirements value="When answering questions about a subject that is minor, incapable of answering
       or an animal, another human source may answer the questions."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="QuestionnaireResponse.source"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.source"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=INF].role"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item">      <path value="QuestionnaireResponse.item"/>       <short value="Groups and questions"/>       <definition value="A group or question item from the original questionnaire for which answers are
       provided."/> 
      <comment value="Groups cannot have answers and therefore must nest directly within item. When dealing
       with questions, nesting must occur within each answer because some questions may
       have multiple answers (and the nesting occurs for each answer).\nWhen dealing with
       repeating items, each group repetition will be handled by a separate item.  However,
       repeating questions are handled with a single question item and potentially multiple
       answers."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="QuestionnaireResponse.item"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="qrs-1"/>         <severity value="error"/>         <human value="Item cannot contain both item and answer"/>         <expression value="(answer.exists() and item.exists()).not()"/>         <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>       </constraint>       <constraint>         <key value="qrs-2"/>         <severity value="error"/>         <human value="Repeated answers are combined in the answers array of a single item"/>         <expression value="repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()"/>         <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.id">      <path value="QuestionnaireResponse.item.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.extension">      <path value="QuestionnaireResponse.item.extension"/>       <short value="Additional content defined by implementations"/>       <definition value="May 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 managable, 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."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.modifierExtension">      <path value="QuestionnaireResponse.item.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/>       <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element 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 managable, 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)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier 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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.linkId">      <path value="QuestionnaireResponse.item.linkId"/>       <short value="Pointer to specific item from Questionnaire"/>       <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse
       resource."/> 
      <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might
       not exist - requiring correspondence by identifier."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="QuestionnaireResponse.item.linkId"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <condition value="qrs-2"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.definition">      <path value="QuestionnaireResponse.item.definition"/>       <short value="ElementDefinition - details for the item"/>       <definition value="A reference to an [ElementDefinition](elementdefinition.html) that provides the
       details for the item."/> 
      <comment value="The ElementDefinition must be in a [StructureDefinition](structuredefinition.html#),
       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.val
      ue[x].
There is no need for this element if the item pointed to by the linkId has a definition
       listed."/> 
      <requirements value="A common pattern is to define a set of data elements, and then build multiple different
       questionnaires for different circumstances to gather the data. This element provides
       traceability to the common definition."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="QuestionnaireResponse.item.definition"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="uri"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.text">      <path value="QuestionnaireResponse.item.text"/>       <short value="Name for group or question text"/>       <definition value="Text that is displayed above the contents of the group or as the text of the question
       being answered."/> 
      <comment value="The text for an item SHOULD be identical to the text from the corresponding Questionnaire.ite
      m. This can't be strictly enforced because it's possible for the Questionnaire to
       be updated subsequent to the QuestionnaireResponse having been created, however
       the intention is that the text in the QuestionnaireResponse reflects what the user
       saw when completing the Questionnaire."/> 
      <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="QuestionnaireResponse.item.text"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.answer">      <path value="QuestionnaireResponse.item.answer"/>       <short value="The response(s) to the question"/>       <definition value="The respondent's answer(s) to the question."/>       <comment value="The value is nested because we cannot have a repeating structure that has variable
       type."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="QuestionnaireResponse.item.answer"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <condition value="qrs-1"/>       <condition value="qrs-2"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".value[type=LIST_ANY]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.answer.id">      <path value="QuestionnaireResponse.item.answer.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.answer.extension">      <path value="QuestionnaireResponse.item.answer.extension"/>       <short value="Additional content defined by implementations"/>       <definition value="May 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 managable, 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."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.answer.modifierExtension">      <path value="QuestionnaireResponse.item.answer.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/>       <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element 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 managable, 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)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier 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](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.answer.value[x]">      <path value="QuestionnaireResponse.item.answer.value[x]"/>       <short value="Single-valued answer to the question"/>       <definition value="The answer (or one of the answers) provided by the respondent to the question."/>       <comment value="More complex structures (Attachment, Resource and Quantity) will typically be limited
       to electronic forms that can expose an appropriate user interface to capture the
       components and enforce the constraints of a complex data type.  Additional complex
       types can be introduced through extensions. Must match the datatype specified by
       Questionnaire.item.type in the corresponding Questionnaire.     Note that a question
       is answered using one of the possible choices defined with answerOption, answerValueSet
       or some other means and the answer has a complex data type, all elements within
       the answer in the QuestionnaireResponse **SHOULD** match the elements defined corresponding
       choice value in the Questionnaire.  However, it is possible that not all elements
       will be propagated.  Also, some systems might use language translations resulting
       in different displays.  Comparison of value to the values defined in the Questionnaire
       (whether by answerOption, answerValueSet or answerExpression) **SHALL NOT** pay
       attention to Coding.display, Reference.display, Quantity.unit unless those are
       the only elements present.  As well, systems are not required to check for a match
       on any extensions (e.g. ordinal values, translations, etc.).  Systems **MAY** enforce
       that if extensions such as ordinal values are present in both Questionnaire and
       QuestionnaireResponse, they match."/> 
      <requirements value="Ability to retain a single-valued answer to a question."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="QuestionnaireResponse.item.answer.value[x]"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="boolean"/>       </type>       <type>         <code value="decimal"/>       </type>       <type>         <code value="integer"/>       </type>       <type>         <code value="date"/>       </type>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="time"/>       </type>       <type>         <code value="string"/>       </type>       <type>         <code value="uri"/>       </type>       <type>         <code value="Attachment"/>       </type>       <type>         <code value="Coding"/>       </type>       <type>         <code value="Quantity"/>         <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>       </type>       <condition value="qrs-2"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="QuestionnaireAnswer"/>         </extension>         <strength value="example"/>         <description value="Binding this is problematic because one value set can't apply to both codes and
         quantities."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".item"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.answer.item">      <path value="QuestionnaireResponse.item.answer.item"/>       <short value="Child items of question"/>       <definition value="Nested groups and/or questions found within this particular answer."/>       <comment value="Only used when nesting beneath a question - see item.item for nesting beneath groups"/>       <requirements value="It is useful to have &quot;sub-questions&quot;, questions which normally appear
       when certain answers are given and which collect additional details."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="QuestionnaireResponse.item.answer.item"/>         <min value="0"/>         <max value="*"/>       </base>       <contentReference value="#QuestionnaireResponse.item"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.item">      <path value="QuestionnaireResponse.item.item"/>       <short value="Child items of group item"/>       <definition value="Sub-questions, sub-groups or display items nested beneath a group."/>       <comment value="Only used when nesting beneath a group - see item.answer.item for nesting beneath
       questions"/> 
      <requirements value="Reports can consist of complex nested groups."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="QuestionnaireResponse.item.item"/>         <min value="0"/>         <max value="*"/>       </base>       <contentReference value="#QuestionnaireResponse.item"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/>       </mapping>     </element>   </snapshot>   <differential>     <element id="QuestionnaireResponse">      <path value="QuestionnaireResponse"/>       <short value="A structured set of questions and their answers"/>       <definition value="A structured set of questions and their answers. The questions are ordered and
       grouped into coherent subsets, corresponding to the structure of the grouping of
       the questionnaire being responded to."/> 
      <comment value="The QuestionnaireResponse contains enough information about the questions asked
       and their organization that it can be interpreted somewhat independently from the
       Questionnaire it is based on.  I.e. You don't need access to the Questionnaire
       in order to extract basic information from a QuestionnaireResponse."/> 
      <alias value="Form"/>       <alias value="QuestionnaireAnswers"/>       <min value="0"/>       <max value="*"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Event"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="Observation[moodCode=EVN]"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="infrastructure.information"/>       </mapping>     </element>     <element id="QuestionnaireResponse.identifier">      <path value="QuestionnaireResponse.identifier"/>       <short value="Unique id for this set of answers"/>       <definition value="A business identifier assigned to a particular completed (or partially completed)
       questionnaire."/> 
      <requirements value="Used for tracking, registration and other business purposes."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Identifier"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.identifier"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="QuestionnaireResponse.basedOn">      <path value="QuestionnaireResponse.basedOn"/>       <short value="Request fulfilled by this QuestionnaireResponse"/>       <definition value="The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireRespon
      se.  For example, a ServiceRequest seeking an intake assessment or a decision support
       recommendation to assess for post-partum depression."/> 
      <requirements value="Supports traceability of responsibility for the action and allows linkage of an
       action to the recommendations acted upon."/> 
      <alias value="order"/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.basedOn"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=FLFS].target"/>       </mapping>     </element>     <element id="QuestionnaireResponse.partOf">      <path value="QuestionnaireResponse.partOf"/>       <short value="Part of this action"/>       <definition value="A procedure or observation that this questionnaire was performed as part of the
       execution of.  For example, the surgery a checklist was executed as part of."/> 
      <comment value="Composition of questionnaire responses will be handled by the parent questionnaire
       having answers that reference the child questionnaire.  For relationships to referrals,
       and other types of requests, use basedOn."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.partOf"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.questionnaire">      <path value="QuestionnaireResponse.questionnaire"/>       <short value="Canonical URL of Questionnaire being answered"/>       <definition value="The Questionnaire that defines and organizes the questions for which answers are
       being provided."/> 
      <comment value="If a QuestionnaireResponse references a Questionnaire that can be resolved, 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.).  It is possible to have a QuestionnaireResponse whose 'questionnaire'
       element does not resolve.  It is also possible for the questionnaire element to
       not have a value but only extensions (e.g. conveying the title or identifier for
       the questionnaire).  This may happen for legacy data.  If there is no formally
       defined Questionnaire, it is undefined what the 'correct' values for the linkId
       elements should be and it is possible that linkIds might be inconsistent for QuestionnaireRes
      ponses for the same form if captured by distinct systems."/> 
      <requirements value="Needed to allow editing of the questionnaire response in a manner that enforces
       the constraints of the original form."/> 
      <alias value="Form"/>       <min value="1"/>       <max value="1"/>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.status">      <path value="QuestionnaireResponse.status"/>       <short value="in-progress | completed | amended | entered-in-error | stopped"/>       <definition value="The position of the questionnaire response within its overall lifecycle."/>       <comment value="This element is labeled as a modifier because the status contains codes that mark
       the resource as not currently valid."/> 
      <requirements value="The information on Questionnaire resources  may possibly be gathered during multiple
       sessions and altered after considered being finished."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labelled as a modifier because it is a status element that contains
       status entered-in-error which means that the resource should not be treated as
       valid"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="QuestionnaireResponseStatus"/>         </extension>         <strength value="required"/>         <description value="Lifecycle status of the questionnaire response."/>         <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status|5.0.0-draft-final"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.status"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish
         &quot;in-progress&quot; from &quot;published)"/> 
      </mapping>     </element>     <element id="QuestionnaireResponse.subject">      <path value="QuestionnaireResponse.subject"/>       <short value="The subject of the questions"/>       <definition value="The subject of the questionnaire response.  This could be a patient, organization,
       practitioner, device, etc.  This is who/what the answers apply to, but is not necessarily
       the source of information."/> 
      <comment value="If the Questionnaire declared a subjectType, the resource pointed to by this element
       must be an instance of one of the listed types."/> 
      <requirements value="Allows linking the answers to the individual the answers describe.  May also affect
       access control."/> 
      <alias value="Patient"/>       <alias value="Focus"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.subject"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.subject[x]"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=SBJ].role"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.subject"/>       </mapping>     </element>     <element id="QuestionnaireResponse.encounter">      <path value="QuestionnaireResponse.encounter"/>       <short value="Encounter created as part of"/>       <definition value="The Encounter during which this questionnaire response was created or to which
       the creation of this record is tightly associated."/> 
      <comment value="This 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."/> 
      <requirements value="Provides context for the information that was captured.  May also affect access
       control."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.encounter"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.context"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".inboundRelationship(typeCode=COMP].source[classCode&lt;=PCPR, moodCode=EVN]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.authored">      <path value="QuestionnaireResponse.authored"/>       <short value="Date the answers were gathered"/>       <definition value="The date and/or time that this questionnaire response was last modified by the
       user - e.g. changing answers or revising status."/> 
      <comment value="May be different from the lastUpdateTime of the resource itself, because that reflects
       when the data was known to the server, not when the data was captured.
This element is optional to allow for systems that might not know the value, however
       it SHOULD be populated if possible."/> 
      <requirements value="Clinicians need to be able to check the date that the information in the questionnaire
       was collected, to derive the context of the answers."/> 
      <alias value="Date Created"/>       <alias value="Date published"/>       <alias value="Date Issued"/>       <alias value="Date updated"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.occurrence[x]"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.recorded"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=AUT].time"/>       </mapping>     </element>     <element id="QuestionnaireResponse.author">      <path value="QuestionnaireResponse.author"/>       <short value="The individual or device that received and recorded the answers"/>       <definition value="The individual or device that received the answers to the questions in the QuestionnaireRespo
      nse and recorded them in the system."/> 
      <comment value="Mapping a subject's answers to multiple choice options and determining what to
       put in the textual answer is a matter of interpretation. Authoring by device would
       indicate that some portion of the questionnaire had been auto-populated. Device
       should only be used if it directly determined the answers, not if it was merely
       used as a capture tool to record answers provided by others. In the latter case,
       information about the physical device, software, etc. would be captured using Provenance."/> 
      <requirements value="Need to know who interpreted the subject's answers to the questions in the questionnaire,
       and selected the appropriate options for answers."/> 
      <alias value="Laboratory"/>       <alias value="Service"/>       <alias value="Practitioner"/>       <alias value="Department"/>       <alias value="Company"/>       <alias value="Performer"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.performer"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.author"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=AUT].role"/>       </mapping>     </element>     <element id="QuestionnaireResponse.source">      <path value="QuestionnaireResponse.source"/>       <short value="The individual or device that answered the questions"/>       <definition value="The individual or device that answered the questions about the subject."/>       <comment value="If not specified, no inference can be made about who provided the data. Device
       should only be used if it directly determined the answers, not if it was merely
       used as a capture tool to record answers provided by others. In the latter case,
       information about the physical device, software, etc. would be captured using Provenance."/> 
      <requirements value="When answering questions about a subject that is minor, incapable of answering
       or an animal, another human source may answer the questions."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.source"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=INF].role"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item">      <path value="QuestionnaireResponse.item"/>       <short value="Groups and questions"/>       <definition value="A group or question item from the original questionnaire for which answers are
       provided."/> 
      <comment value="Groups cannot have answers and therefore must nest directly within item. When dealing
       with questions, nesting must occur within each answer because some questions may
       have multiple answers (and the nesting occurs for each answer).\nWhen dealing with
       repeating items, each group repetition will be handled by a separate item.  However,
       repeating questions are handled with a single question item and potentially multiple
       answers."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="qrs-2"/>         <severity value="error"/>         <human value="Repeated answers are combined in the answers array of a single item"/>         <expression value="repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()"/>         <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>       </constraint>       <constraint>         <key value="qrs-1"/>         <severity value="error"/>         <human value="Item cannot contain both item and answer"/>         <expression value="(answer.exists() and item.exists()).not()"/>         <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.linkId">      <path value="QuestionnaireResponse.item.linkId"/>       <short value="Pointer to specific item from Questionnaire"/>       <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse
       resource."/> 
      <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might
       not exist - requiring correspondence by identifier."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <condition value="qrs-2"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.definition">      <path value="QuestionnaireResponse.item.definition"/>       <short value="ElementDefinition - details for the item"/>       <definition value="A reference to an [ElementDefinition](elementdefinition.html) that provides the
       details for the item."/> 
      <comment value="The ElementDefinition must be in a [StructureDefinition](structuredefinition.html#),
       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.val
      ue[x].
There is no need for this element if the item pointed to by the linkId has a definition
       listed."/> 
      <requirements value="A common pattern is to define a set of data elements, and then build multiple different
       questionnaires for different circumstances to gather the data. This element provides
       traceability to the common definition."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="uri"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.text">      <path value="QuestionnaireResponse.item.text"/>       <short value="Name for group or question text"/>       <definition value="Text that is displayed above the contents of the group or as the text of the question
       being answered."/> 
      <comment value="The text for an item SHOULD be identical to the text from the corresponding Questionnaire.ite
      m. This can't be strictly enforced because it's possible for the Questionnaire to
       be updated subsequent to the QuestionnaireResponse having been created, however
       the intention is that the text in the QuestionnaireResponse reflects what the user
       saw when completing the Questionnaire."/> 
      <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.answer">      <path value="QuestionnaireResponse.item.answer"/>       <short value="The response(s) to the question"/>       <definition value="The respondent's answer(s) to the question."/>       <comment value="The value is nested because we cannot have a repeating structure that has variable
       type."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <condition value="qrs-1"/>       <condition value="qrs-2"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".value[type=LIST_ANY]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.answer.value[x]">      <path value="QuestionnaireResponse.item.answer.value[x]"/>       <short value="Single-valued answer to the question"/>       <definition value="The answer (or one of the answers) provided by the respondent to the question."/>       <comment value="More complex structures (Attachment, Resource and Quantity) will typically be limited
       to electronic forms that can expose an appropriate user interface to capture the
       components and enforce the constraints of a complex data type.  Additional complex
       types can be introduced through extensions. Must match the datatype specified by
       Questionnaire.item.type in the corresponding Questionnaire.     Note that a question
       is answered using one of the possible choices defined with answerOption, answerValueSet
       or some other means and the answer has a complex data type, all elements within
       the answer in the QuestionnaireResponse **SHOULD** match the elements defined corresponding
       choice value in the Questionnaire.  However, it is possible that not all elements
       will be propagated.  Also, some systems might use language translations resulting
       in different displays.  Comparison of value to the values defined in the Questionnaire
       (whether by answerOption, answerValueSet or answerExpression) **SHALL NOT** pay
       attention to Coding.display, Reference.display, Quantity.unit unless those are
       the only elements present.  As well, systems are not required to check for a match
       on any extensions (e.g. ordinal values, translations, etc.).  Systems **MAY** enforce
       that if extensions such as ordinal values are present in both Questionnaire and
       QuestionnaireResponse, they match."/> 
      <requirements value="Ability to retain a single-valued answer to a question."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="boolean"/>       </type>       <type>         <code value="decimal"/>       </type>       <type>         <code value="integer"/>       </type>       <type>         <code value="date"/>       </type>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="time"/>       </type>       <type>         <code value="string"/>       </type>       <type>         <code value="uri"/>       </type>       <type>         <code value="Attachment"/>       </type>       <type>         <code value="Coding"/>       </type>       <type>         <code value="Quantity"/>         <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>       </type>       <condition value="qrs-2"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="QuestionnaireAnswer"/>         </extension>         <strength value="example"/>         <description value="Binding this is problematic because one value set can't apply to both codes and
         quantities."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".item"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.answer.item">      <path value="QuestionnaireResponse.item.answer.item"/>       <short value="Child items of question"/>       <definition value="Nested groups and/or questions found within this particular answer."/>       <comment value="Only used when nesting beneath a question - see item.item for nesting beneath groups"/>       <requirements value="It is useful to have &quot;sub-questions&quot;, questions which normally appear
       when certain answers are given and which collect additional details."/> 
      <min value="0"/>       <max value="*"/>       <contentReference value="#QuestionnaireResponse.item"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/>       </mapping>     </element>     <element id="QuestionnaireResponse.item.item">      <path value="QuestionnaireResponse.item.item"/>       <short value="Child items of group item"/>       <definition value="Sub-questions, sub-groups or display items nested beneath a group."/>       <comment value="Only used when nesting beneath a group - see item.answer.item for nesting beneath
       questions"/> 
      <requirements value="Reports can consist of complex nested groups."/>       <min value="0"/>       <max value="*"/>       <contentReference value="#QuestionnaireResponse.item"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/>       </mapping>     </element>   </differential> 


</

StructureDefinition

>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.