Skip to content

US Core QuestionnaireResponse Profile (US Core 6.1.0)

US Core QuestionnaireResponse Profile is a US Core 6.1.0 profile on the FHIR R4 QuestionnaireResponse resource. It marks 13 elements as must-support; the rows below list each constrained element's cardinality and binding strength.

Profileus-core-questionnaireresponse
Implementation GuideUS Core 6.1.0
Base resourceQuestionnaireResponse
Canonical URLhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse
Must-support elements13
Constrained elements with bindings2
QuestionnaireResponse.identifier0..1, must support
QuestionnaireResponse.questionnaire1..1 (base 0..1), must support
QuestionnaireResponse.status1..1, must support, binding: required
QuestionnaireResponse.subject1..1 (base 0..1), must support
QuestionnaireResponse.authored1..1 (base 0..1), must support
QuestionnaireResponse.author0..1, must support
QuestionnaireResponse.item0..*, must support
QuestionnaireResponse.item.linkId1..1, must support
QuestionnaireResponse.item.text0..1, must support
QuestionnaireResponse.item.answer0..*, must support
QuestionnaireResponse.item.answer.value[x]0..1, must support, binding: example
QuestionnaireResponse.item.answer.item0..*, must support
QuestionnaireResponse.item.item0..*, must support

Example

pidgeon data install fhir-us-core-6.0
pidgeon conform --endpoint https://your-fhir-base/fhir --ig us-core-6.0 --ci

The conform run walks the live endpoint and grades sampled resources against the installed US Core profiles. A failed report exits non-zero; --ci also fails the run on must-support gaps (MUSTSUPPORT-*) and stub-profile fallbacks (CONFORM_STUB_PROFILE).

Validation context

  • strict Profile validation grades an instance against this profile's snapshot: cardinality findings carry FHIR-PROFILE-CARDINALITY and terminology binding findings carry FHIR-PROFILE-BINDING.(FHIR-PROFILE-CARDINALITY)
  • strict Under pidgeon conform --ci, a sampled resource missing one of this profile's must-support elements fails the run with a MUSTSUPPORT-<element> rule id.
  • strict If the fhir-us-core-6.0 package is not installed, validation falls back to an embedded subset stub and the report is flagged CONFORM_STUB_PROFILE; under --ci that warning fails the run.(CONFORM_STUB_PROFILE)

This answer, in your terminal

pidgeon conform --endpoint https://your-fhir-base/fhir --ig us-core-6.0 --ci

Wire it into your AI agent:

claude mcp add pidgeon -- npx -y @pidgeonhealth/mcp

Download Post free to browse this reference with generation attached.

FHIR® R4 © Health Level Seven International. FHIR R4 specification content is used under its CC0 license; this page is a derivative work and is not endorsed by HL7 International.

HL7® and FHIR® are registered trademarks of Health Level Seven International.

Published by Pattern Engine LLC (Pidgeon Health).

Rendered from the same machine-readable definitions the Pidgeon engine validates against. Exported from the installed fhir-us-core-6.0 package (6.1.0, CC0) through the Pidgeon engine's profile loader.