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Packageca.on.oh-eforms
Resource TypeStructureDefinition
IdOntarioSDCQuestionnaireResponse_obligations.json
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=ca.on.oh-eforms@1.0.0-interim&canonical=http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-questionnaireresponse
URLhttp://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-questionnaireresponse
Version1.0.0
Statusactive
Date2026-02-10
NameOntarioSDCQuestionnaireResponse
TitleOntario SDC QuestionnaireResponse Profile
Realmca
DescriptionDefines common elements for Ontario eForms SDC QuestionnaireResponses. Based on SDC content, with Must Support replaced by role-based Obligations.
TypeQuestionnaireResponse
Kindresource

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
extension-QuestionnaireResponse.sourceCross-version Extension for R5.QuestionnaireResponse.source for use in FHIR R4B
sdc-questionnaire-itemAnswerMediaItem Answer Media
sdc-questionnaire-itemMediaItem Media
sdc-questionnaireOntario SDC Questionnaire profile

Narrative

No narrative content found in resource


Source1

{
  "resourceType": "StructureDefinition",
  "id": "sdc-questionnaireresponsecommon",
  "url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-questionnaireresponse",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.17.42.90"
    }
  ],
  "version": "1.0.0",
  "name": "OntarioSDCQuestionnaireResponse",
  "title": "Ontario SDC QuestionnaireResponse Profile",
  "status": "active",
  "date": "2026-02-10",
  "publisher": "Ontario Health",
  "description": "Defines common elements for Ontario eForms SDC QuestionnaireResponses. Based on SDC content, with Must Support replaced by role-based Obligations.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "QuestionnaireResponse",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "QuestionnaireResponse",
        "path": "QuestionnaireResponse",
        "short": "Generic Questionnaire Response",
        "definition": "Sets expectations for supported capabilities for questionnaire responses for SDC-conformant systems.",
        "alias": [
          "Form Data",
          "QuestionnaireAnswers"
        ],
        "constraint": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean": true
              }
            ],
            "key": "sdcqr-1",
            "severity": "warning",
            "human": "Subject SHOULD be present (searching is difficult without subject).  Almost all QuestionnaireResponses should be with respect to some sort of subject.",
            "expression": "subject.exists()",
            "xpath": "exists(f:subject)",
            "source": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-questionnaireresponsecommon"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean": true
              }
            ],
            "key": "sdcqr-2",
            "severity": "error",
            "human": "When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse.  For a question, it'll be represented by a single item with that linkId with multiple answers.",
            "expression": "(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()",
            "xpath": "not(exists(for $item in descendant::f:item[f:answer] return $item/preceding-sibling::f:item[f:linkId/@value=$item/f:linkId/@value]))",
            "source": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-questionnaireresponsecommon"
          },
          {
            "key": "sdcqr-3",
            "severity": "error",
            "human": "Can either have source or source extension, but not both",
            "expression": "source.count() + extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source').count() <=1",
            "xpath": "count(f:source | f:extension[@url='http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source']) <= 1",
            "source": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-questionnaireresponsecommon"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.extension",
        "path": "QuestionnaireResponse.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "QuestionnaireResponse.extension:adheresTo",
        "path": "QuestionnaireResponse.extension",
        "sliceName": "adheresTo",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/workflow-adheresTo"
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.extension:adheresTo.value[x]",
        "path": "QuestionnaireResponse.extension.value[x]",
        "type": [
          {
            "code": "canonical",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
              "http://hl7.org/fhir/StructureDefinition/PlanDefinition"
            ]
          },
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
              "http://hl7.org/fhir/StructureDefinition/PlanDefinition"
            ]
          },
          {
            "code": "uri"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.extension:triggeredBy",
        "path": "QuestionnaireResponse.extension",
        "sliceName": "triggeredBy",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/workflow-triggeredBy"
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.extension:triggeredBy.value[x]",
        "path": "QuestionnaireResponse.extension.value[x]",
        "type": [
          {
            "code": "canonical",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
              "http://hl7.org/fhir/StructureDefinition/PlanDefinition"
            ]
          },
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
              "http://hl7.org/fhir/StructureDefinition/PlanDefinition"
            ]
          },
          {
            "code": "uri"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.extension:signature",
        "path": "QuestionnaireResponse.extension",
        "sliceName": "signature",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"
            ]
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "MAY:populate"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.extension:completionMode",
        "path": "QuestionnaireResponse.extension",
        "sliceName": "completionMode",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode"
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.extension:source",
        "path": "QuestionnaireResponse.extension",
        "sliceName": "source",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-QuestionnaireResponse.source"
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.extension:source.value[x]",
        "path": "QuestionnaireResponse.extension.value[x]",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.identifier",
        "path": "QuestionnaireResponse.identifier",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.questionnaire",
        "path": "QuestionnaireResponse.questionnaire",
        "min": 1,
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          }
        ],
        "type": [
          {
            "code": "canonical",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-questionnaire"
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.status",
        "path": "QuestionnaireResponse.status",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.subject",
        "path": "QuestionnaireResponse.subject",
        "comment": "...  If subject is omitted - because the QuestionnaireResponse is not associated with a specific subject, ensure that QuestionnaireRsponse.identifier is present or the QuestionnaireResponse is referenced somewhere (e.g. Task.output, Composition.section.entry, etc.) to allow tracking and retrieval of the QuestionnaireResponse",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.authored",
        "path": "QuestionnaireResponse.authored",
        "definition": "Identifies when this version of the answer set was created.  Changes whenever the answers are updated.",
        "min": 1,
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.author",
        "path": "QuestionnaireResponse.author",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item",
        "path": "QuestionnaireResponse.item",
        "constraint": [
          {
            "key": "qrs-2",
            "severity": "error",
            "human": "Repeated answers are combined in the answers array of a single item",
            "expression": "repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()",
            "xpath": "true()",
            "source": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-questionnaireresponsecommon"
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "QuestionnaireResponse.item.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:display"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:user-input"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"
            ]
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "MAY:populate"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.text",
        "path": "QuestionnaireResponse.item.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:display"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.answer",
        "path": "QuestionnaireResponse.item.answer",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "QuestionnaireResponse.item.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:display"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.answer.extension:itemWeight",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemWeight",
        "comment": "Inclusion of weights in QRs can increase performance when calculating based on weights.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/itemWeight"
            ]
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
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          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine"
              },
              {
                "url": "code",
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            ]
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          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
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        ]
      },
      {
        "id": "QuestionnaireResponse.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
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                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:display"
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            ]
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                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:user-input"
              }
            ]
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          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
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              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
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                "url": "code",
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            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
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                "url": "actor",
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              },
              {
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          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
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              {
                "url": "code",
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              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
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                "url": "code",
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              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
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            ]
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          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
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              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine"
              },
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                "url": "code",
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              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine"
              },
              {
                "url": "code",
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            ]
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          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
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        ]
      },
      {
        "id": "QuestionnaireResponse.item.item",
        "path": "QuestionnaireResponse.item.item",
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "extension": [
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            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:populate"
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          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
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              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:display"
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            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
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              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/renderer"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
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          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
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                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/population-engine"
              },
              {
                "url": "code",
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            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
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              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/extraction-engine"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
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            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/eforms/ActorDefinition/qr-narrative-generator"
              },
              {
                "url": "code",
                "valueCode": "SHALL:process"
              }
            ]
          }
        ]
      }
    ]
  }
}