Athena Core Implementation Guide - Local Development build (v5.15.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: athenahealth Patient Reason for Visit

A transient patient-entered reason for visit used to match appointment service types.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from QuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	QuestionnaireResponse	A structured set of questions and their answers Constraints: ah-prfv-nonblank
meta
extension		0..0		Extension
profile		1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.athena.io/StructureDefinition/ah-patient-reason-for-visit
security		0..0		Security Labels applied to this resource
tag		0..0		Tags applied to this resource
contained		0..0		Contained, inline Resources
extension		0..0		Extension
modifierExtension		0..0		Extension
identifier		0..0		Unique id for this set of answers
status		1..1	code	in-progress | completed | amended | entered-in-error | stopped Fixed Value: completed
subject		0..0		The subject of the questions
author		0..0		Person who received and recorded the answers
item		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: patient-reason-for-visit
answer		1..1	BackboneElement	The response(s) to the question
value[x]		1..1	string	Single-valued answer to the question Max Length:500
item		0..0		Nested groups and questions
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ah-prfv-nonblank	error	QuestionnaireResponse	The reason for visit contains at least one non-whitespace Unicode character.	item.answer.valueString.matches('.*\S.*')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	QuestionnaireResponse	A structured set of questions and their answers Constraints: ah-prfv-nonblank
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
status	?!Σ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Fixed Value: completed
item	C	1..1	BackboneElement	Groups and questions Constraints: qrs-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: patient-reason-for-visit
answer		1..1	BackboneElement	The response(s) to the question
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]		1..1	string	Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. Max Length:500
Documentation for this format

Terminology Bindings

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.

Constraints

Id	Grade	Path(s)	Description	Expression
ah-prfv-nonblank	error	QuestionnaireResponse	The reason for visit contains at least one non-whitespace Unicode character.	item.answer.valueString.matches('.*\S.*')
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	QuestionnaireResponse	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
qrs-1	error	QuestionnaireResponse.item	Nested item can't be beneath both item and answer	(answer.exists() and item.exists()).not()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	QuestionnaireResponse	A structured set of questions and their answers Constraints: ah-prfv-nonblank
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.athena.io/StructureDefinition/ah-patient-reason-for-visit
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	Request fulfilled by this QuestionnaireResponse
partOf	Σ	0..*	Reference(Observation | Procedure)	Part of this action
questionnaire	Σ	0..1	canonical(Questionnaire)	Form being answered
status	?!Σ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Fixed Value: completed
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	Σ	0..1	dateTime	Date the answers were gathered
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
item	C	1..1	BackboneElement	Groups and questions Constraints: qrs-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: patient-reason-for-visit
definition		0..1	uri	ElementDefinition - details for the item
text		0..1	string	Name for group or question text
answer		1..1	BackboneElement	The response(s) to the question
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]		1..1	string	Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. Max Length:500
item		0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

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.

Constraints

Id	Grade	Path(s)	Description	Expression
ah-prfv-nonblank	error	QuestionnaireResponse	The reason for visit contains at least one non-whitespace Unicode character.	item.answer.valueString.matches('.*\S.*')
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	QuestionnaireResponse	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
qrs-1	error	QuestionnaireResponse.item	Nested item can't be beneath both item and answer	(answer.exists() and item.exists()).not()

This structure is derived from QuestionnaireResponse

Summary

Mandatory: 3 elements(1 nested mandatory element)
Fixed: 3 elements
Prohibited: 10 elements

Differential View

This structure is derived from QuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	QuestionnaireResponse	A structured set of questions and their answers Constraints: ah-prfv-nonblank
meta
extension		0..0		Extension
profile		1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.athena.io/StructureDefinition/ah-patient-reason-for-visit
security		0..0		Security Labels applied to this resource
tag		0..0		Tags applied to this resource
contained		0..0		Contained, inline Resources
extension		0..0		Extension
modifierExtension		0..0		Extension
identifier		0..0		Unique id for this set of answers
status		1..1	code	in-progress | completed | amended | entered-in-error | stopped Fixed Value: completed
subject		0..0		The subject of the questions
author		0..0		Person who received and recorded the answers
item		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: patient-reason-for-visit
answer		1..1	BackboneElement	The response(s) to the question
value[x]		1..1	string	Single-valued answer to the question Max Length:500
item		0..0		Nested groups and questions
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ah-prfv-nonblank	error	QuestionnaireResponse	The reason for visit contains at least one non-whitespace Unicode character.	item.answer.valueString.matches('.*\S.*')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	QuestionnaireResponse	A structured set of questions and their answers Constraints: ah-prfv-nonblank
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
status	?!Σ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Fixed Value: completed
item	C	1..1	BackboneElement	Groups and questions Constraints: qrs-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: patient-reason-for-visit
answer		1..1	BackboneElement	The response(s) to the question
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]		1..1	string	Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. Max Length:500
Documentation for this format

Terminology Bindings

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.

Constraints

Id	Grade	Path(s)	Description	Expression
ah-prfv-nonblank	error	QuestionnaireResponse	The reason for visit contains at least one non-whitespace Unicode character.	item.answer.valueString.matches('.*\S.*')
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	QuestionnaireResponse	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
qrs-1	error	QuestionnaireResponse.item	Nested item can't be beneath both item and answer	(answer.exists() and item.exists()).not()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	QuestionnaireResponse	A structured set of questions and their answers Constraints: ah-prfv-nonblank
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.athena.io/StructureDefinition/ah-patient-reason-for-visit
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	Request fulfilled by this QuestionnaireResponse
partOf	Σ	0..*	Reference(Observation | Procedure)	Part of this action
questionnaire	Σ	0..1	canonical(Questionnaire)	Form being answered
status	?!Σ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Fixed Value: completed
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	Σ	0..1	dateTime	Date the answers were gathered
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
item	C	1..1	BackboneElement	Groups and questions Constraints: qrs-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: patient-reason-for-visit
definition		0..1	uri	ElementDefinition - details for the item
text		0..1	string	Name for group or question text
answer		1..1	BackboneElement	The response(s) to the question
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]		1..1	string	Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. Max Length:500
item		0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

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.

Constraints

Id	Grade	Path(s)	Description	Expression
ah-prfv-nonblank	error	QuestionnaireResponse	The reason for visit contains at least one non-whitespace Unicode character.	item.answer.valueString.matches('.*\S.*')
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	QuestionnaireResponse	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
qrs-1	error	QuestionnaireResponse.item	Nested item can't be beneath both item and answer	(answer.exists() and item.exists()).not()

This structure is derived from QuestionnaireResponse

Summary

Mandatory: 3 elements(1 nested mandatory element)
Fixed: 3 elements
Prohibited: 10 elements

​Other representations of profile: CSV, Excel, Schematron