HEARTLAND FHIR candidate 0.3.0 — draft, experimental R4 4.0.1 reference. Prepared for technical review; not evidence of clinical validation or vendor interoperability.

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Resource Profile: HEARTLAND Complete Risk Input Response ( Experimental )

Complete, flat, explicitly answered Boolean input contract for the candidate risk questionnaire. Link IDs identify the ten weighted criteria; response order must also match the Questionnaire. This profile does not resolve unknown clinical inputs, validate the risk heuristic, or prove a referenced RiskAssessment total.

Usages:

• Examples for this Profile: QuestionnaireResponse/QuestionnaireResponseExampleRiskInputs

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	HeartlandQuestionnaireResponse	A structured set of questions and their answers Constraints: heartland-risk-complete
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
questionnaire	SΣ	1..1	canonical(Questionnaire)	Canonical URL of one of: HeartlandRiskInputQuestionnaire | HeartlandFacilityTierQuestionnaire | HeartlandPatientTrackQuestionnaire Fixed Value: https://fhir.heartlandprotocol.org/Questionnaire/heartland-risk-input-questionnaire|0.3.0
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	SΣ	1..1	Reference(Resource)	The subject of the questions
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers
Slices for item	SC	10..10	BackboneElement	Groups and questions Slice: Ordered, Closed by value:linkId Constraints: qrs-1, heartland-risk-value
item:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
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	boolean	Single-valued answer to the question
item:age	SC	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: age-75
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	boolean	Single-valued answer to the question
item:hospitalization	SC	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: hf-hosp-6mo
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	boolean	Single-valued answer to the question
item:egfr	SC	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: egfr-low
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	boolean	Single-valued answer to the question
item:natriuretic	SC	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: natriuretic-high
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	boolean	Single-valued answer to the question
item:sbp	SC	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: sbp-low
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	boolean	Single-valued answer to the question
item:diabetes	SC	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: diabetes
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	boolean	Single-valued answer to the question
item:lvef	SC	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: lvef-low
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	boolean	Single-valued answer to the question
item:ckm	SC	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: ckm-stage
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	boolean	Single-valued answer to the question
item:distance	SC	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: distance-far
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	boolean	Single-valued answer to the question
item:support	SC	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: social-support
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	boolean	Single-valued answer to the question
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
QuestionnaireResponse.​status	Base	required	QuestionnaireResponseStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
heartland-risk-complete	error	QuestionnaireResponse	A computable response must be completed or amended. This is not clinical approval.	status = 'completed' or status = 'amended'
heartland-risk-value	error	QuestionnaireResponse.item	Each risk answer must contain an actual Boolean value, including false; a primitive with only an absent-data extension is not computable.	answer.value.hasValue()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	HeartlandQuestionnaireResponse	A structured set of questions and their answers Constraints: heartland-risk-complete
questionnaire		1..1	canonical(Questionnaire)	Canonical URL of one of: HeartlandRiskInputQuestionnaire | HeartlandFacilityTierQuestionnaire | HeartlandPatientTrackQuestionnaire Fixed Value: https://fhir.heartlandprotocol.org/Questionnaire/heartland-risk-input-questionnaire|0.3.0
Slices for item	C	10..10	BackboneElement	Groups and questions Slice: Ordered, Closed by value:linkId Constraints: heartland-risk-value
item:All Slices				Content/Rules for all slices
answer		1..1	BackboneElement	The response(s) to the question
value[x]		1..1	boolean	Single-valued answer to the question
item		0..0		Nested groups and questions
item		0..0		Nested questionnaire response items
item:age		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: age-75
item:hospitalization		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: hf-hosp-6mo
item:egfr		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: egfr-low
item:natriuretic		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: natriuretic-high
item:sbp		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: sbp-low
item:diabetes		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: diabetes
item:lvef		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: lvef-low
item:ckm		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: ckm-stage
item:distance		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: distance-far
item:support		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: social-support
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
heartland-risk-complete	error	QuestionnaireResponse	A computable response must be completed or amended. This is not clinical approval.	status = 'completed' or status = 'amended'
heartland-risk-value	error	QuestionnaireResponse.item	Each risk answer must contain an actual Boolean value, including false; a primitive with only an absent-data extension is not computable.	answer.value.hasValue()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	HeartlandQuestionnaireResponse	A structured set of questions and their answers Constraints: heartland-risk-complete
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. 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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Unique id for this set of answers
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	Request fulfilled by this QuestionnaireResponse
partOf	Σ	0..*	Reference(Observation | Procedure)	Part of this action
questionnaire	SΣ	1..1	canonical(Questionnaire)	Canonical URL of one of: HeartlandRiskInputQuestionnaire | HeartlandFacilityTierQuestionnaire | HeartlandPatientTrackQuestionnaire Fixed Value: https://fhir.heartlandprotocol.org/Questionnaire/heartland-risk-input-questionnaire|0.3.0
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	SΣ	1..1	Reference(Resource)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
Slices for item	SC	10..10	BackboneElement	Groups and questions Slice: Ordered, Closed by value:linkId Constraints: qrs-1, heartland-risk-value
item:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text		0..1	string	Name for group or question text
answer		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	boolean	Single-valued answer to the question
item:age	SC	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: age-75
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	boolean	Single-valued answer to the question
item:hospitalization	SC	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: hf-hosp-6mo
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	boolean	Single-valued answer to the question
item:egfr	SC	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: egfr-low
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	boolean	Single-valued answer to the question
item:natriuretic	SC	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: natriuretic-high
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	boolean	Single-valued answer to the question
item:sbp	SC	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: sbp-low
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	boolean	Single-valued answer to the question
item:diabetes	SC	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: diabetes
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	boolean	Single-valued answer to the question
item:lvef	SC	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: lvef-low
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	boolean	Single-valued answer to the question
item:ckm	SC	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: ckm-stage
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	boolean	Single-valued answer to the question
item:distance	SC	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: distance-far
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	boolean	Single-valued answer to the question
item:support	SC	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: social-support
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	boolean	Single-valued answer to the question
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.

Constraints

Id	Grade	Path(s)	Description	Expression
heartland-risk-complete	error	QuestionnaireResponse	A computable response must be completed or amended. This is not clinical approval.	status = 'completed' or status = 'amended'
heartland-risk-value	error	QuestionnaireResponse.item	Each risk answer must contain an actual Boolean value, including false; a primitive with only an absent-data extension is not computable.	answer.value.hasValue()

Summary

Mandatory: 12 elements
Fixed: 11 elements
Prohibited: 2 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of QuestionnaireResponse.item (ordered, Closed)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	HeartlandQuestionnaireResponse	A structured set of questions and their answers Constraints: heartland-risk-complete
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
questionnaire	SΣ	1..1	canonical(Questionnaire)	Canonical URL of one of: HeartlandRiskInputQuestionnaire | HeartlandFacilityTierQuestionnaire | HeartlandPatientTrackQuestionnaire Fixed Value: https://fhir.heartlandprotocol.org/Questionnaire/heartland-risk-input-questionnaire|0.3.0
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	SΣ	1..1	Reference(Resource)	The subject of the questions
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers
Slices for item	SC	10..10	BackboneElement	Groups and questions Slice: Ordered, Closed by value:linkId Constraints: qrs-1, heartland-risk-value
item:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
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	boolean	Single-valued answer to the question
item:age	SC	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: age-75
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	boolean	Single-valued answer to the question
item:hospitalization	SC	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: hf-hosp-6mo
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	boolean	Single-valued answer to the question
item:egfr	SC	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: egfr-low
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	boolean	Single-valued answer to the question
item:natriuretic	SC	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: natriuretic-high
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	boolean	Single-valued answer to the question
item:sbp	SC	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: sbp-low
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	boolean	Single-valued answer to the question
item:diabetes	SC	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: diabetes
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	boolean	Single-valued answer to the question
item:lvef	SC	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: lvef-low
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	boolean	Single-valued answer to the question
item:ckm	SC	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: ckm-stage
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	boolean	Single-valued answer to the question
item:distance	SC	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: distance-far
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	boolean	Single-valued answer to the question
item:support	SC	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: social-support
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	boolean	Single-valued answer to the question
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
QuestionnaireResponse.​status	Base	required	QuestionnaireResponseStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
heartland-risk-complete	error	QuestionnaireResponse	A computable response must be completed or amended. This is not clinical approval.	status = 'completed' or status = 'amended'
heartland-risk-value	error	QuestionnaireResponse.item	Each risk answer must contain an actual Boolean value, including false; a primitive with only an absent-data extension is not computable.	answer.value.hasValue()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	HeartlandQuestionnaireResponse	A structured set of questions and their answers Constraints: heartland-risk-complete
questionnaire		1..1	canonical(Questionnaire)	Canonical URL of one of: HeartlandRiskInputQuestionnaire | HeartlandFacilityTierQuestionnaire | HeartlandPatientTrackQuestionnaire Fixed Value: https://fhir.heartlandprotocol.org/Questionnaire/heartland-risk-input-questionnaire|0.3.0
Slices for item	C	10..10	BackboneElement	Groups and questions Slice: Ordered, Closed by value:linkId Constraints: heartland-risk-value
item:All Slices				Content/Rules for all slices
answer		1..1	BackboneElement	The response(s) to the question
value[x]		1..1	boolean	Single-valued answer to the question
item		0..0		Nested groups and questions
item		0..0		Nested questionnaire response items
item:age		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: age-75
item:hospitalization		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: hf-hosp-6mo
item:egfr		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: egfr-low
item:natriuretic		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: natriuretic-high
item:sbp		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: sbp-low
item:diabetes		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: diabetes
item:lvef		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: lvef-low
item:ckm		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: ckm-stage
item:distance		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: distance-far
item:support		1..1	BackboneElement	Groups and questions
linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: social-support
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
heartland-risk-complete	error	QuestionnaireResponse	A computable response must be completed or amended. This is not clinical approval.	status = 'completed' or status = 'amended'
heartland-risk-value	error	QuestionnaireResponse.item	Each risk answer must contain an actual Boolean value, including false; a primitive with only an absent-data extension is not computable.	answer.value.hasValue()

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
QuestionnaireResponse	C	0..*	HeartlandQuestionnaireResponse	A structured set of questions and their answers Constraints: heartland-risk-complete
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. 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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Unique id for this set of answers
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	Request fulfilled by this QuestionnaireResponse
partOf	Σ	0..*	Reference(Observation | Procedure)	Part of this action
questionnaire	SΣ	1..1	canonical(Questionnaire)	Canonical URL of one of: HeartlandRiskInputQuestionnaire | HeartlandFacilityTierQuestionnaire | HeartlandPatientTrackQuestionnaire Fixed Value: https://fhir.heartlandprotocol.org/Questionnaire/heartland-risk-input-questionnaire|0.3.0
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject	SΣ	1..1	Reference(Resource)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	0..1	Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)	Person who received and recorded the answers
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
Slices for item	SC	10..10	BackboneElement	Groups and questions Slice: Ordered, Closed by value:linkId Constraints: qrs-1, heartland-risk-value
item:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text		0..1	string	Name for group or question text
answer		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	boolean	Single-valued answer to the question
item:age	SC	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: age-75
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	boolean	Single-valued answer to the question
item:hospitalization	SC	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: hf-hosp-6mo
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	boolean	Single-valued answer to the question
item:egfr	SC	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: egfr-low
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	boolean	Single-valued answer to the question
item:natriuretic	SC	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: natriuretic-high
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	boolean	Single-valued answer to the question
item:sbp	SC	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: sbp-low
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	boolean	Single-valued answer to the question
item:diabetes	SC	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: diabetes
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	boolean	Single-valued answer to the question
item:lvef	SC	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: lvef-low
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	boolean	Single-valued answer to the question
item:ckm	SC	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: ckm-stage
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	boolean	Single-valued answer to the question
item:distance	SC	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: distance-far
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	boolean	Single-valued answer to the question
item:support	SC	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: social-support
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	boolean	Single-valued answer to the question
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.

Constraints

Id	Grade	Path(s)	Description	Expression
heartland-risk-complete	error	QuestionnaireResponse	A computable response must be completed or amended. This is not clinical approval.	status = 'completed' or status = 'amended'
heartland-risk-value	error	QuestionnaireResponse.item	Each risk answer must contain an actual Boolean value, including false; a primitive with only an absent-data extension is not computable.	answer.value.hasValue()

Summary

Mandatory: 12 elements
Fixed: 11 elements
Prohibited: 2 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of QuestionnaireResponse.item (ordered, Closed)