This page is part of the FUT Infrastructure (v11.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-guidanceresponse | Version: 11.0.1 | |||
| Active as of 2026-10-23 | Computable Name: ehealth-guidanceresponse | |||
The GuidanceResponse resource is used to represent the result of invoking a decision support service. It provides a container for the status of the response, any warnings or messages returned by the service, as well as the output data of the module and any suggested actions to be performed.
In the eHealth Infrastructure, a GuidanceResponse is returned when invoking the operation evaluate on
a Library instance. This could be performed as part of decision support usage or for determining
qualities such as the situation quality for a measurement based on answer(s) in a QuestionnaireResponse.
In the description of Library.evaluate there is an example of input and output where GuidanceResponse
use is reflected.
A GuidanceResponse contains a mandatory element module which references a knowledge module through a
ServiceDefinition resource.
In the eHealth Infrastructure, knowledge modules are represented as Library instances and the ServiceDefinition
is not used in the eHealth Infrastructure. As it is not otherwise used, ServiceDefinition is left un-profiled
and referenced as a contained resource in GuidanceResponse.
When returned from the eHealth Infrastructure, the GuidanceResponse module is a reference to a contained
ServiceDefinition containing minimal content. The ServiceDefinition element relatedArtifact is set to reference
the Library.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and their representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  GuidanceResponse |
0..* | GuidanceResponse | The formal response to a guidance request | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   extension:episodeOfCare |
1..1 | (Complex) | Episode of care URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-guidanceresponse-episodeOfCare | |
  extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-guidanceresponse-episodeOfCare" | |
  value[x] |
0..1 | Reference(ehealth-episodeofcare) {r} | Value of extension | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 module[x] |
1..1 | What guidance was requested | ||
| moduleUri |
uri | |||
| moduleCanonical |
canonical(Any) | |||
  moduleCodeableConcept |
CodeableConcept | |||
| status |
1..1 | code | success | data-requested | data-required | in-progress | failure | entered-in-error Binding: GuidanceResponseStatus (required): The status of a guidance response. | |
| subject |
0..1 | Reference(ehealth-patient) {r} | Patient the request was performed for | |
| performer |
0..1 | Reference(ehealth-device) {r} | Device returning the guidance | |
| evaluationMessage |
0..* | Reference(OperationOutcome) {r} | Messages resulting from the evaluation of the artifact or artifacts | |
| result |
0..1 | Reference(ehealth-careplan | RequestGroup) {r} | Proposed actions, if any | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| GuidanceResponse.status | Base | required | GuidanceResponseStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| GuidanceResponse |
0..* | GuidanceResponse | The formal response to a guidance request | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:episodeOfCare |
1..1 | (Complex) | Episode of care URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-guidanceresponse-episodeOfCare | |
| value[x] |
0..1 | Reference(ehealth-episodeofcare) {r} | Value of extension | |
| subject |
0..1 | Reference(ehealth-patient) {r} | Patient the request was performed for | |
| performer |
0..1 | Reference(ehealth-device) {r} | Device returning the guidance | |
| evaluationMessage |
0..* | Reference(OperationOutcome) {r} | Messages resulting from the evaluation of the artifact or artifacts | |
| result |
0..1 | Reference(ehealth-careplan | RequestGroup) {r} | Proposed actions, if any | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| GuidanceResponse |
0..* | GuidanceResponse | The formal response to a guidance request | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:episodeOfCare |
1..1 | (Complex) | Episode of care URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-guidanceresponse-episodeOfCare | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-guidanceresponse-episodeOfCare" | |||||
| value[x] |
0..1 | Reference(ehealth-episodeofcare) {r} | Value of extension | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| requestIdentifier |
0..1 | Identifier | The identifier of the request associated with this response, if any | |||||
| identifier |
0..* | Identifier | Business identifier | |||||
| module[x] |
1..1 | What guidance was requested | ||||||
| moduleUri |
uri | |||||||
| moduleCanonical |
canonical(Any) | |||||||
| moduleCodeableConcept |
CodeableConcept | |||||||
| status |
1..1 | code | success | data-requested | data-required | in-progress | failure | entered-in-error Binding: GuidanceResponseStatus (required): The status of a guidance response. | |||||
| subject |
0..1 | Reference(ehealth-patient) {r} | Patient the request was performed for | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter during which the response was returned | |||||
| occurrenceDateTime |
0..1 | dateTime | When the guidance response was processed | |||||
| performer |
0..1 | Reference(ehealth-device) {r} | Device returning the guidance | |||||
| reasonCode |
0..* | CodeableConcept | Why guidance is needed | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why guidance is needed | |||||
| note |
0..* | Annotation | Additional notes about the response | |||||
| evaluationMessage |
0..* | Reference(OperationOutcome) {r} | Messages resulting from the evaluation of the artifact or artifacts | |||||
| outputParameters |
0..1 | Reference(Parameters) | The output parameters of the evaluation, if any | |||||
| result |
0..1 | Reference(ehealth-careplan | RequestGroup) {r} | Proposed actions, if any | |||||
| dataRequirement |
0..* | DataRequirement | Additional required data | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| GuidanceResponse.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| GuidanceResponse.status | Base | required | GuidanceResponseStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| GuidanceResponse |
0..* | GuidanceResponse | The formal response to a guidance request | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:episodeOfCare |
1..1 | (Complex) | Episode of care URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-guidanceresponse-episodeOfCare | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-guidanceresponse-episodeOfCare" | |
| value[x] |
0..1 | Reference(ehealth-episodeofcare) {r} | Value of extension | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| module[x] |
1..1 | What guidance was requested | ||
| moduleUri |
uri | |||
| moduleCanonical |
canonical(Any) | |||
| moduleCodeableConcept |
CodeableConcept | |||
| status |
1..1 | code | success | data-requested | data-required | in-progress | failure | entered-in-error Binding: GuidanceResponseStatus (required): The status of a guidance response. | |
| subject |
0..1 | Reference(ehealth-patient) {r} | Patient the request was performed for | |
| performer |
0..1 | Reference(ehealth-device) {r} | Device returning the guidance | |
| evaluationMessage |
0..* | Reference(OperationOutcome) {r} | Messages resulting from the evaluation of the artifact or artifacts | |
| result |
0..1 | Reference(ehealth-careplan | RequestGroup) {r} | Proposed actions, if any | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| GuidanceResponse.status | Base | required | GuidanceResponseStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| GuidanceResponse |
0..* | GuidanceResponse | The formal response to a guidance request | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:episodeOfCare |
1..1 | (Complex) | Episode of care URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-guidanceresponse-episodeOfCare | |
| value[x] |
0..1 | Reference(ehealth-episodeofcare) {r} | Value of extension | |
| subject |
0..1 | Reference(ehealth-patient) {r} | Patient the request was performed for | |
| performer |
0..1 | Reference(ehealth-device) {r} | Device returning the guidance | |
| evaluationMessage |
0..* | Reference(OperationOutcome) {r} | Messages resulting from the evaluation of the artifact or artifacts | |
| result |
0..1 | Reference(ehealth-careplan | RequestGroup) {r} | Proposed actions, if any | |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| GuidanceResponse |
0..* | GuidanceResponse | The formal response to a guidance request | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:episodeOfCare |
1..1 | (Complex) | Episode of care URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-guidanceresponse-episodeOfCare | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-guidanceresponse-episodeOfCare" | |||||
| value[x] |
0..1 | Reference(ehealth-episodeofcare) {r} | Value of extension | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| requestIdentifier |
0..1 | Identifier | The identifier of the request associated with this response, if any | |||||
| identifier |
0..* | Identifier | Business identifier | |||||
| module[x] |
1..1 | What guidance was requested | ||||||
| moduleUri |
uri | |||||||
| moduleCanonical |
canonical(Any) | |||||||
| moduleCodeableConcept |
CodeableConcept | |||||||
| status |
1..1 | code | success | data-requested | data-required | in-progress | failure | entered-in-error Binding: GuidanceResponseStatus (required): The status of a guidance response. | |||||
| subject |
0..1 | Reference(ehealth-patient) {r} | Patient the request was performed for | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter during which the response was returned | |||||
| occurrenceDateTime |
0..1 | dateTime | When the guidance response was processed | |||||
| performer |
0..1 | Reference(ehealth-device) {r} | Device returning the guidance | |||||
| reasonCode |
0..* | CodeableConcept | Why guidance is needed | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why guidance is needed | |||||
| note |
0..* | Annotation | Additional notes about the response | |||||
| evaluationMessage |
0..* | Reference(OperationOutcome) {r} | Messages resulting from the evaluation of the artifact or artifacts | |||||
| outputParameters |
0..1 | Reference(Parameters) | The output parameters of the evaluation, if any | |||||
| result |
0..1 | Reference(ehealth-careplan | RequestGroup) {r} | Proposed actions, if any | |||||
| dataRequirement |
0..* | DataRequirement | Additional required data | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| GuidanceResponse.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| GuidanceResponse.status | Base | required | GuidanceResponseStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
