Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build
Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-questionnaireresponse | Version: 0.1.0 | ||||
| Draft as of 2026-07-24 | Computable Name: AtriusInQuestionnaireResponse | ||||
| Other Identifiers: OID:1.3.6.1.4.1.66219.1.42.103 | |||||
Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Path | Status | Usage | ValueSet | Version | Source |
| QuestionnaireResponse.status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | QuestionnaireResponse.implicitRules, QuestionnaireResponse.modifierExtension, QuestionnaireResponse.basedOn, QuestionnaireResponse.partOf, QuestionnaireResponse.questionnaire, QuestionnaireResponse.status, QuestionnaireResponse.subject, QuestionnaireResponse.encounter, QuestionnaireResponse.authored, QuestionnaireResponse.author, QuestionnaireResponse.item, QuestionnaireResponse.item.modifierExtension, QuestionnaireResponse.item.linkId, QuestionnaireResponse.item.answer, QuestionnaireResponse.item.answer.modifierExtension, QuestionnaireResponse.item.answer.value[x] | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | QuestionnaireResponse.modifierExtension, QuestionnaireResponse.item.modifierExtension, QuestionnaireResponse.item.answer.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer |
(answer.exists() and item.exists()).not()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | QuestionnaireResponse(4.0.1) | A structured set of questions and their answers | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
![]() ![]() |
Σ | 0..1 | Identifier | Unique id for this set of answers | ||||
![]() ![]() |
Σ | 0..* | Reference(Atrius India Core CarePlan(0.1.0) | Atrius India Core ServiceRequest(0.1.0) | Atrius India Core Service Not Requested(0.1.0)) | Request fulfilled by this QuestionnaireResponse | ||||
![]() ![]() |
Σ | 0..* | Reference(Atrius India Core Observation(0.1.0) | Atrius India Core Observation Body Measurement(0.1.0) | Atrius India Core Observation General Assessment(0.1.0) | Atrius India Core Observation Lifestyle(0.1.0) | Atrius India Core Observation Physical Activity(0.1.0) | Atrius India Core Observation Vital Signs(0.1.0) | Atrius India Core Observation Women Health(0.1.0) | Atrius India Core Procedure(0.1.0)) | Part of this action | ||||
![]() ![]() |
SΣ | 0..1 | canonical(Questionnaire) | Form being answered | ||||
![]() ![]() |
?!SΣ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. | ||||
![]() ![]() |
SΣ | 0..1 | Reference(Atrius India Core Patient(0.1.0)) | The subject of the questions | ||||
![]() ![]() |
Σ | 0..1 | Reference(Atrius India Core Encounter(0.1.0)) | Encounter created as part of | ||||
![]() ![]() |
SΣ | 0..1 | dateTime | Date the answers were gathered | ||||
![]() ![]() |
Σ | 0..1 | Reference(Atrius India Core Patient(0.1.0) | Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Device(0.1.0)) | Person who received and recorded the answers | ||||
![]() ![]() |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions | ||||
![]() ![]() |
SC | 0..* | BackboneElement | Groups and questions Constraints: qrs-1 | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
![]() ![]() ![]() |
S | 1..1 | string | Pointer to specific item from Questionnaire | ||||
![]() ![]() ![]() |
0..1 | uri | ElementDefinition - details for the item | |||||
![]() ![]() ![]() |
0..1 | string | Name for group or question text | |||||
![]() ![]() ![]() |
S | 0..* | BackboneElement | The response(s) to the question | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
![]() ![]() ![]() ![]() |
S | 0..1 | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. | |||||
![]() ![]() ![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() ![]() ![]() |
decimal | |||||||
![]() ![]() ![]() ![]() ![]() |
integer | |||||||
![]() ![]() ![]() ![]() ![]() |
date | |||||||
![]() ![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() |
uri | |||||||
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Attachment | |||||||
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Coding | |||||||
![]() ![]() ![]() ![]() ![]() |
Quantity | |||||||
![]() ![]() ![]() ![]() ![]() |
Reference(Resource) | |||||||
![]() ![]() ![]() ![]() |
0..* | See item (QuestionnaireResponse) | Nested groups and questions | |||||
![]() ![]() ![]() |
0..* | See item (QuestionnaireResponse) | Nested questionnaire response items | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| QuestionnaireResponse.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | QuestionnaireResponse.meta, QuestionnaireResponse.implicitRules, QuestionnaireResponse.language, QuestionnaireResponse.text, QuestionnaireResponse.extension, QuestionnaireResponse.modifierExtension, QuestionnaireResponse.identifier, QuestionnaireResponse.basedOn, QuestionnaireResponse.partOf, QuestionnaireResponse.questionnaire, QuestionnaireResponse.status, QuestionnaireResponse.subject, QuestionnaireResponse.encounter, QuestionnaireResponse.authored, QuestionnaireResponse.author, QuestionnaireResponse.source, QuestionnaireResponse.item, QuestionnaireResponse.item.extension, QuestionnaireResponse.item.modifierExtension, QuestionnaireResponse.item.linkId, QuestionnaireResponse.item.definition, QuestionnaireResponse.item.text, QuestionnaireResponse.item.answer, QuestionnaireResponse.item.answer.extension, QuestionnaireResponse.item.answer.modifierExtension, QuestionnaireResponse.item.answer.value[x], QuestionnaireResponse.item.answer.item, QuestionnaireResponse.item.item | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | QuestionnaireResponse.extension, QuestionnaireResponse.modifierExtension, QuestionnaireResponse.item.extension, QuestionnaireResponse.item.modifierExtension, QuestionnaireResponse.item.answer.extension, QuestionnaireResponse.item.answer.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer |
(answer.exists() and item.exists()).not()
|
Summary
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Key Elements View
| Path | Status | Usage | ValueSet | Version | Source |
| QuestionnaireResponse.status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | QuestionnaireResponse.implicitRules, QuestionnaireResponse.modifierExtension, QuestionnaireResponse.basedOn, QuestionnaireResponse.partOf, QuestionnaireResponse.questionnaire, QuestionnaireResponse.status, QuestionnaireResponse.subject, QuestionnaireResponse.encounter, QuestionnaireResponse.authored, QuestionnaireResponse.author, QuestionnaireResponse.item, QuestionnaireResponse.item.modifierExtension, QuestionnaireResponse.item.linkId, QuestionnaireResponse.item.answer, QuestionnaireResponse.item.answer.modifierExtension, QuestionnaireResponse.item.answer.value[x] | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | QuestionnaireResponse.modifierExtension, QuestionnaireResponse.item.modifierExtension, QuestionnaireResponse.item.answer.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer |
(answer.exists() and item.exists()).not()
|
Differential View
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | QuestionnaireResponse(4.0.1) | A structured set of questions and their answers | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
![]() ![]() |
Σ | 0..1 | Identifier | Unique id for this set of answers | ||||
![]() ![]() |
Σ | 0..* | Reference(Atrius India Core CarePlan(0.1.0) | Atrius India Core ServiceRequest(0.1.0) | Atrius India Core Service Not Requested(0.1.0)) | Request fulfilled by this QuestionnaireResponse | ||||
![]() ![]() |
Σ | 0..* | Reference(Atrius India Core Observation(0.1.0) | Atrius India Core Observation Body Measurement(0.1.0) | Atrius India Core Observation General Assessment(0.1.0) | Atrius India Core Observation Lifestyle(0.1.0) | Atrius India Core Observation Physical Activity(0.1.0) | Atrius India Core Observation Vital Signs(0.1.0) | Atrius India Core Observation Women Health(0.1.0) | Atrius India Core Procedure(0.1.0)) | Part of this action | ||||
![]() ![]() |
SΣ | 0..1 | canonical(Questionnaire) | Form being answered | ||||
![]() ![]() |
?!SΣ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. | ||||
![]() ![]() |
SΣ | 0..1 | Reference(Atrius India Core Patient(0.1.0)) | The subject of the questions | ||||
![]() ![]() |
Σ | 0..1 | Reference(Atrius India Core Encounter(0.1.0)) | Encounter created as part of | ||||
![]() ![]() |
SΣ | 0..1 | dateTime | Date the answers were gathered | ||||
![]() ![]() |
Σ | 0..1 | Reference(Atrius India Core Patient(0.1.0) | Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Device(0.1.0)) | Person who received and recorded the answers | ||||
![]() ![]() |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | The person who answered the questions | ||||
![]() ![]() |
SC | 0..* | BackboneElement | Groups and questions Constraints: qrs-1 | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
![]() ![]() ![]() |
S | 1..1 | string | Pointer to specific item from Questionnaire | ||||
![]() ![]() ![]() |
0..1 | uri | ElementDefinition - details for the item | |||||
![]() ![]() ![]() |
0..1 | string | Name for group or question text | |||||
![]() ![]() ![]() |
S | 0..* | BackboneElement | The response(s) to the question | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
![]() ![]() ![]() ![]() |
S | 0..1 | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. | |||||
![]() ![]() ![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() ![]() ![]() |
decimal | |||||||
![]() ![]() ![]() ![]() ![]() |
integer | |||||||
![]() ![]() ![]() ![]() ![]() |
date | |||||||
![]() ![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() |
uri | |||||||
![]() ![]() ![]() ![]() ![]() |
Attachment | |||||||
![]() ![]() ![]() ![]() ![]() |
Coding | |||||||
![]() ![]() ![]() ![]() ![]() |
Quantity | |||||||
![]() ![]() ![]() ![]() ![]() |
Reference(Resource) | |||||||
![]() ![]() ![]() ![]() |
0..* | See item (QuestionnaireResponse) | Nested groups and questions | |||||
![]() ![]() ![]() |
0..* | See item (QuestionnaireResponse) | Nested questionnaire response items | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| QuestionnaireResponse.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.status | Base | required | QuestionnaireResponseStatus | 📍4.0.1 | FHIR Std. |
| QuestionnaireResponse.item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | QuestionnaireResponse.meta, QuestionnaireResponse.implicitRules, QuestionnaireResponse.language, QuestionnaireResponse.text, QuestionnaireResponse.extension, QuestionnaireResponse.modifierExtension, QuestionnaireResponse.identifier, QuestionnaireResponse.basedOn, QuestionnaireResponse.partOf, QuestionnaireResponse.questionnaire, QuestionnaireResponse.status, QuestionnaireResponse.subject, QuestionnaireResponse.encounter, QuestionnaireResponse.authored, QuestionnaireResponse.author, QuestionnaireResponse.source, QuestionnaireResponse.item, QuestionnaireResponse.item.extension, QuestionnaireResponse.item.modifierExtension, QuestionnaireResponse.item.linkId, QuestionnaireResponse.item.definition, QuestionnaireResponse.item.text, QuestionnaireResponse.item.answer, QuestionnaireResponse.item.answer.extension, QuestionnaireResponse.item.answer.modifierExtension, QuestionnaireResponse.item.answer.value[x], QuestionnaireResponse.item.answer.item, QuestionnaireResponse.item.item | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | QuestionnaireResponse.extension, QuestionnaireResponse.modifierExtension, QuestionnaireResponse.item.extension, QuestionnaireResponse.item.modifierExtension, QuestionnaireResponse.item.answer.extension, QuestionnaireResponse.item.answer.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| qrs-1 | error | QuestionnaireResponse.item | Nested item can't be beneath both item and answer |
(answer.exists() and item.exists()).not()
|
Summary
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron