QuestionnaireResponse Profile

Canonical	../StructureDefinition/nexus-emr-core-questionnaireresponse
Status	draft (experimental) · 1.26.0
Base	QuestionnaireResponse (constraint)
Source	FSH · JSON

Nexus EMR profile for QuestionnaireResponse -- completed intake, screening and consent forms, including those passed through from external eReferral partners. Appears in the patient chart's journey timeline. First pass: dating and form linkage; item structure is deliberately unconstrained.

Examples

Avery Pre-Visit Intake Questionnaire

Completed pre-visit intake form for Avery Linwood, carrying authored so it dates correctly into the chart journey timeline. Shows a nested, deliberately unconstrained item tree

QuestionnaireResponse/qr-avery-intake-2025-04-08 — claims conformance to QuestionnaireResponse Profile

{
  "resourceType": "QuestionnaireResponse",
  "id": "qr-avery-intake-2025-04-08",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-emr-core-questionnaireresponse"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p>Pre-visit intake questionnaire completed by Avery Linwood on April 8, 2025, ahead of the annual wellness visit. Carries authored, so it dates correctly into the chart journey timeline.</p><p>Note the item tree is nested and deliberately unconstrained by the profile -- consumers must recurse rather than index positionally.</p></div>"
  },
  "questionnaire": "../Questionnaire/cedarbrook-previsit-intake",
  "status": "completed",
  "subject": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "encounter": {
    "reference": "Encounter/enc-avery-20250408-01rc",
    "display": "Annual wellness visit, 2025-04-08"
  },
  "authored": "2025-04-08T07:41:00-06:00",
  "author": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "source": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "item": [
    {
      "linkId": "reason-for-visit",
      "text": "What brings you in today?",
      "answer": [
        {
          "valueString": "Annual checkup, plus I've been dizzy and very tired for about three weeks."
        }
      ]
    },
    {
      "linkId": "symptoms",
      "text": "Current symptoms",
      "item": [
        {
          "linkId": "symptoms-dizziness",
          "text": "Dizziness",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "symptoms-fatigue",
          "text": "Fatigue",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "symptoms-duration",
          "text": "How long have you had these symptoms?",
          "answer": [
            {
              "valueString": "About three weeks"
            }
          ]
        }
      ]
    },
    {
      "linkId": "smoking-status",
      "text": "Do you currently smoke?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "266919005",
            "display": "Never smoked tobacco"
          }
        }
      ]
    }
  ]
}

Referenced by: AI-Drafted Note Accepted by a Clinician