@aehrc/smart-forms-renderer 1.2.0 → 1.2.2

package/lib/utils/validateQuestionnaire.js

@@ -0,0 +1,559 @@
+/*
+ * Copyright 2024 Commonwealth Scientific and Industrial Research
+ * Organisation (CSIRO) ABN 41 687 119 230.
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *     http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ */
+import { getQrItemsIndex, mapQItemsIndex } from './mapItem';
+import { isHiddenByEnableWhen } from './qItem';
+import { getDecimalPrecision, getMaxValue, getMinValue, getRegexString, getRegexValidation, getShortText } from './itemControl';
+import { structuredDataCapture } from 'fhir-sdc-helpers';
+import { parseDecimalStringToFloat } from './parseInputs';
+import dayjs from 'dayjs';
+import { questionnaireStore } from '../stores';
+export var ValidationResult;
+(function (ValidationResult) {
+    ValidationResult["unknown"] = "unknown";
+    ValidationResult["questionnaireNotFound"] = "questionnaireNotFound";
+    ValidationResult["questionnaireInactive"] = "questionnaireInactive";
+    ValidationResult["questionnaireDraft"] = "questionnaireDraft";
+    ValidationResult["questionnaireRetired"] = "questionnaireRetired";
+    ValidationResult["invalidLinkId"] = "invalidLinkId";
+    ValidationResult["invalidType"] = "invalidType";
+    ValidationResult["invalidAnswerType"] = "invalidAnswerType";
+    ValidationResult["invalidAnswerOption"] = "invalidAnswerOption";
+    ValidationResult["exclusiveAnswerOption"] = "exclusiveAnswerOption";
+    ValidationResult["invalidUrlValue"] = "invalidUrlValue";
+    ValidationResult["groupShouldNotHaveAnswers"] = "groupShouldNotHaveAnswers";
+    ValidationResult["required"] = "required";
+    ValidationResult["invariant"] = "invariant";
+    ValidationResult["invariantExecution"] = "invariantExecution";
+    ValidationResult["repeats"] = "repeats";
+    ValidationResult["minCount"] = "minCount";
+    ValidationResult["maxCount"] = "maxCount";
+    ValidationResult["minValue"] = "minValue";
+    ValidationResult["maxValue"] = "maxValue";
+    ValidationResult["maxDecimalPlaces"] = "maxDecimalPlaces";
+    ValidationResult["minLength"] = "minLength";
+    ValidationResult["maxLength"] = "maxLength";
+    ValidationResult["invalidNewLine"] = "invalidNewLine";
+    ValidationResult["invalidCoding"] = "invalidCoding";
+    ValidationResult["tsError"] = "tsError";
+    ValidationResult["maxAttachmentSize"] = "maxAttachmentSize";
+    ValidationResult["attachmentSizeInconsistent"] = "attachmentSizeInconsistent";
+    ValidationResult["invalidAttachmentType"] = "invalidAttachmentType";
+    ValidationResult["displayAnswer"] = "displayAnswer";
+    ValidationResult["regex"] = "regex";
+    ValidationResult["regexTimeout"] = "regexTimeout";
+    ValidationResult["invalidRefValue"] = "invalidRefValue";
+    ValidationResult["invalidRefResourceType"] = "invalidRefResourceType";
+    ValidationResult["invalidRefResourceTypeRestriction"] = "invalidRefResourceTypeRestriction";
+    ValidationResult["minValueIncompatUnits"] = "minValueIncompatUnits";
+    ValidationResult["maxValueIncompatUnits"] = "maxValueIncompatUnits";
+    ValidationResult["invalidUnit"] = "invalidUnit";
+    ValidationResult["invalidUnitValueSet"] = "invalidUnitValueSet"; // The unit provided was not in the provided valueset
+})(ValidationResult || (ValidationResult = {}));
+/**
+ * Recursively go through the questionnaireResponse and check for un-filled required qItems
+ * At the moment item.required for group items are not checked
+ *
+ * @author Sean Fong
+ */
+export function validateQuestionnaire(params) {
+    var _a;
+    const { questionnaire, questionnaireResponse } = params;
+    const enableWhenIsActivated = questionnaireStore.getState().enableWhenIsActivated;
+    const enableWhenItems = questionnaireStore.getState().enableWhenItems;
+    const enableWhenExpressions = questionnaireStore.getState().enableWhenExpressions;
+    if (!questionnaire.item || questionnaire.item.length === 0) {
+        return {};
+    }
+    if (!questionnaireResponse.item || questionnaireResponse.item.length === 0) {
+        questionnaireResponse.item = [];
+    }
+    const qItemsIndexMap = mapQItemsIndex(questionnaire);
+    const topLevelQRItemsByIndex = getQrItemsIndex(questionnaire.item, questionnaireResponse.item, qItemsIndexMap);
+    const invalidItems = {};
+    let qrItemIndex = 0;
+    for (const [index, topLevelQItem] of questionnaire.item.entries()) {
+        let repeatGroupInstances = null;
+        let topLevelQRItem = (_a = topLevelQRItemsByIndex[index]) !== null && _a !== void 0 ? _a : {
+            linkId: topLevelQItem.linkId,
+            text: topLevelQItem.text
+        };
+        // topLevelQRItem being an array means this item is a repeat group
+        const isRepeatGroup = Array.isArray(topLevelQRItem);
+        if (Array.isArray(topLevelQRItem)) {
+            repeatGroupInstances = topLevelQRItem.length;
+            topLevelQRItem = {
+                linkId: topLevelQItem.linkId,
+                text: topLevelQItem.text,
+                item: topLevelQRItem
+            };
+        }
+        const locationExpression = `QuestionnaireResponse.item`;
+        validateItemRecursive({
+            qItem: topLevelQItem,
+            qrItem: topLevelQRItem,
+            qrItemIndex,
+            locationExpression,
+            invalidItems,
+            enableWhenIsActivated,
+            enableWhenItems,
+            enableWhenExpressions,
+            isRepeatGroupInstance: false
+        });
+        // Increment qrItemIndex
+        // If it's a repeat group, increment by the number of instances so qrItemIndex is correct once we reach the next item
+        if (isRepeatGroup && typeof repeatGroupInstances === 'number') {
+            qrItemIndex += repeatGroupInstances;
+        }
+        else {
+            qrItemIndex++;
+        }
+    }
+    return invalidItems;
+}
+function validateItemRecursive(params) {
+    var _a, _b, _c;
+    const { qItem, qrItem, qrItemIndex, invalidItems, enableWhenIsActivated, enableWhenItems, enableWhenExpressions, isRepeatGroupInstance } = params;
+    let { locationExpression } = params;
+    // If item is hidden by enableWhen, skip validation
+    if (isHiddenByEnableWhen({
+        linkId: qItem.linkId,
+        enableWhenIsActivated,
+        enableWhenItems,
+        enableWhenExpressions
+    })) {
+        return;
+    }
+    // Validate repeat groups
+    if (qItem.type === 'group' && qItem.repeats) {
+        if (!isRepeatGroupInstance) {
+            validateRepeatGroupRecursive({
+                qItem,
+                qrItem,
+                qrItemIndex,
+                locationExpression,
+                invalidItems,
+                enableWhenIsActivated,
+                enableWhenItems,
+                enableWhenExpressions,
+                isRepeatGroupInstance: false
+            });
+            return;
+        }
+    }
+    locationExpression = `${locationExpression}[${qrItemIndex}]`;
+    // Recursively validate groups with child items
+    const childQItems = qItem.item;
+    if (childQItems && childQItems.length > 0) {
+        const childQrItems = (_a = qrItem === null || qrItem === void 0 ? void 0 : qrItem.item) !== null && _a !== void 0 ? _a : [];
+        const indexMap = mapQItemsIndex(qItem);
+        const qrItemsByIndex = getQrItemsIndex(childQItems, childQrItems, indexMap);
+        // Check if group is required and has no answers
+        if (qItem.type === 'group' && qItem.required) {
+            if (!qrItem || qrItemsByIndex.length === 0) {
+                invalidItems[qItem.linkId] = createValidationOperationOutcome(ValidationResult.required, qItem, qrItem, null, locationExpression, (_b = invalidItems[qItem.linkId]) === null || _b === void 0 ? void 0 : _b.issue);
+            }
+        }
+        // Loop through child items
+        for (const [index, childQItem] of childQItems.entries()) {
+            const childLocationExpression = `${locationExpression}.item`;
+            let childQRItem = (_c = qrItemsByIndex[index]) !== null && _c !== void 0 ? _c : {
+                linkId: childQItem.linkId,
+                text: childQItem.text
+            };
+            if (Array.isArray(childQRItem)) {
+                childQRItem = {
+                    linkId: childQItem.linkId,
+                    text: childQItem.text,
+                    item: childQRItem
+                };
+            }
+            validateItemRecursive({
+                qItem: childQItem,
+                qrItem: childQRItem,
+                qrItemIndex: index,
+                locationExpression: childLocationExpression,
+                invalidItems: invalidItems,
+                enableWhenIsActivated,
+                enableWhenItems,
+                enableWhenExpressions,
+                isRepeatGroupInstance: false
+            });
+        }
+    }
+    // Validate the item, note that this can be either a group or a non-group
+    validateSingleItem(qItem, qrItem, invalidItems, locationExpression);
+}
+function validateRepeatGroupRecursive(params) {
+    var _a;
+    const { qItem, qrItem, qrItemIndex, locationExpression, invalidItems, enableWhenIsActivated, enableWhenItems, enableWhenExpressions } = params;
+    if (!qItem.item || qItem.item.length === 0 || !qrItem.item || qrItem.item.length === 0) {
+        return;
+    }
+    // Get repeat group answers
+    const repeatGroupAnswers = (_a = qrItem.item) !== null && _a !== void 0 ? _a : [];
+    for (const [index, repeatGroupAnswer] of repeatGroupAnswers.entries()) {
+        // Because the item is a repeat group and might have multiple answer instances, we need to increment the qItemIndex by the instanceIndex
+        const updatedQrItemIndex = qrItemIndex + index;
+        validateItemRecursive({
+            qItem: qItem,
+            qrItem: repeatGroupAnswer,
+            qrItemIndex: updatedQrItemIndex,
+            locationExpression: locationExpression,
+            invalidItems: invalidItems,
+            enableWhenIsActivated,
+            enableWhenItems,
+            enableWhenExpressions,
+            isRepeatGroupInstance: true
+        });
+    }
+}
+function validateSingleItem(qItem, qrItem, invalidItems, locationExpression) {
+    var _a, _b;
+    // Validate item.required first before every other validation check
+    if (qItem.type !== 'display') {
+        if (qItem.required && !qrItem.answer) {
+            invalidItems[qItem.linkId] = createValidationOperationOutcome(ValidationResult.required, qItem, qrItem, null, locationExpression, (_a = invalidItems[qItem.linkId]) === null || _a === void 0 ? void 0 : _a.issue);
+            return invalidItems;
+        }
+    }
+    // Validate regex, maxLength and minLength
+    if (qrItem.answer) {
+        for (const [i, answer] of qrItem.answer.entries()) {
+            // Your code here, you can use 'index' and 'answer' as needed
+            if (answer.valueString || answer.valueInteger || answer.valueDecimal || answer.valueUri) {
+                const invalidInputType = getInputInvalidType({
+                    qItem,
+                    input: getInputInString(answer),
+                    regexValidation: getRegexValidation(qItem),
+                    minLength: structuredDataCapture.getMinLength(qItem),
+                    maxLength: qItem.maxLength,
+                    maxDecimalPlaces: structuredDataCapture.getMaxDecimalPlaces(qItem),
+                    minValue: getMinValue(qItem),
+                    maxValue: getMaxValue(qItem)
+                });
+                if (invalidInputType) {
+                    invalidItems[qItem.linkId] = createValidationOperationOutcome(invalidInputType, qItem, qrItem, i, locationExpression, (_b = invalidItems[qItem.linkId]) === null || _b === void 0 ? void 0 : _b.issue);
+                }
+            }
+        }
+    }
+    return invalidItems;
+}
+function getInputInString(answer) {
+    if (!answer) {
+        return '';
+    }
+    if (answer.valueString) {
+        return answer.valueString;
+    }
+    else if (answer.valueInteger) {
+        return answer.valueInteger.toString();
+    }
+    else if (answer.valueDecimal) {
+        return answer.valueDecimal.toString();
+    }
+    else if (answer.valueUri) {
+        return answer.valueUri;
+    }
+    return '';
+}
+export function getInputInvalidType(getInputInvalidTypeParams) {
+    var _a, _b;
+    const { qItem, input, regexValidation, minLength, maxLength, maxDecimalPlaces, minValue, maxValue } = getInputInvalidTypeParams;
+    if (input) {
+        if (regexValidation && !regexValidation.expression.test(input)) {
+            return ValidationResult.regex;
+        }
+        if (minLength && input.length < minLength) {
+            return ValidationResult.minLength;
+        }
+        if (maxLength && input.length > maxLength) {
+            return ValidationResult.maxLength;
+        }
+        if (maxDecimalPlaces) {
+            const decimalPlaces = (_b = (_a = input.split('.')[1]) === null || _a === void 0 ? void 0 : _a.length) !== null && _b !== void 0 ? _b : 0;
+            if (decimalPlaces > maxDecimalPlaces) {
+                return ValidationResult.maxDecimalPlaces;
+            }
+        }
+        if (minValue) {
+            const minValueError = checkMinValue(qItem, input, minValue);
+            if (minValueError !== null) {
+                return ValidationResult.minValue;
+            }
+        }
+        if (maxValue) {
+            const maxValueError = checkMaxValue(qItem, input, maxValue);
+            if (maxValueError !== null) {
+                return ValidationResult.maxValue;
+            }
+        }
+    }
+    return null;
+}
+function checkMinValue(qItem, input, minValue) {
+    switch (qItem.type) {
+        case 'integer':
+            if (typeof minValue === 'number') {
+                if (parseInt(input) < minValue) {
+                    return ValidationResult.minValue;
+                }
+            }
+            break;
+        case 'decimal': {
+            const precision = getDecimalPrecision(qItem);
+            const decimalValue = precision
+                ? parseDecimalStringToFloat(input, precision)
+                : parseFloat(input);
+            if (typeof minValue === 'number') {
+                if (decimalValue < minValue) {
+                    return ValidationResult.minValue;
+                }
+            }
+            break;
+        }
+        case 'date':
+            if (typeof minValue === 'string') {
+                if (new Date(input) < new Date(minValue)) {
+                    return ValidationResult.minValue;
+                }
+            }
+            break;
+        case 'dateTime':
+            if (typeof minValue === 'string') {
+                if (dayjs(input).isBefore(dayjs(minValue))) {
+                    return ValidationResult.minValue;
+                }
+            }
+            break;
+        default:
+            return null;
+    }
+    return null;
+}
+function checkMaxValue(qItem, input, maxValue) {
+    switch (qItem.type) {
+        case 'integer':
+            if (typeof maxValue === 'number') {
+                if (parseInt(input) > maxValue) {
+                    return ValidationResult.maxValue;
+                }
+            }
+            break;
+        case 'decimal': {
+            const precision = getDecimalPrecision(qItem);
+            const decimalValue = precision
+                ? parseDecimalStringToFloat(input, precision)
+                : parseFloat(input);
+            if (typeof maxValue === 'number') {
+                if (decimalValue > maxValue) {
+                    return ValidationResult.maxValue;
+                }
+            }
+            break;
+        }
+        case 'date':
+            if (typeof maxValue === 'string') {
+                if (new Date(input) > new Date(maxValue)) {
+                    return ValidationResult.maxValue;
+                }
+            }
+            break;
+        case 'dateTime':
+            if (typeof maxValue === 'string') {
+                if (dayjs(input).isAfter(dayjs(maxValue))) {
+                    return ValidationResult.maxValue;
+                }
+            }
+            break;
+        default:
+            return null;
+    }
+    return null;
+}
+function createValidationOperationOutcome(error, qItem, qrItem, answerIndex, locationExpression, existingOperationOutcomeIssues = []) {
+    return {
+        resourceType: 'OperationOutcome',
+        issue: existingOperationOutcomeIssues.concat(createValidationOperationOutcomeIssue(error, qItem, qrItem, answerIndex, locationExpression))
+    };
+}
+function createValidationOperationOutcomeIssue(error, qItem, qrItem, answerIndex, locationExpression) {
+    var _a, _b, _c, _d, _e, _f, _g, _h, _j, _k, _l;
+    const errorCodeSystem = 'http://fhir.forms-lab.com/CodeSystem/errors';
+    let detailsText = '';
+    let fieldDisplayText = (_d = (_c = (_b = (_a = qrItem === null || qrItem === void 0 ? void 0 : qrItem.text) !== null && _a !== void 0 ? _a : getShortText(qItem)) !== null && _b !== void 0 ? _b : qItem === null || qItem === void 0 ? void 0 : qItem.text) !== null && _c !== void 0 ? _c : qItem.linkId) !== null && _d !== void 0 ? _d : qrItem.linkId;
+    if (!fieldDisplayText && fieldDisplayText.endsWith(':')) {
+        fieldDisplayText = fieldDisplayText.substring(0, fieldDisplayText.length - 1);
+    }
+    answerIndex = answerIndex !== null && answerIndex !== void 0 ? answerIndex : 0;
+    // create operationOutcomeIssue based on error
+    switch (error) {
+        case ValidationResult.required: {
+            if (qItem.type === 'group') {
+                detailsText = `${fieldDisplayText}: Mandatory group does not have answer(s)`;
+            }
+            else {
+                detailsText = `${fieldDisplayText}: Mandatory field does not have an answer`;
+            }
+            return {
+                severity: 'error',
+                code: 'required',
+                expression: [locationExpression],
+                details: {
+                    coding: [
+                        {
+                            system: errorCodeSystem,
+                            code: error,
+                            display: 'Required'
+                        }
+                    ],
+                    text: detailsText
+                }
+            };
+        }
+        case ValidationResult.regex: {
+            detailsText = `${fieldDisplayText}: The value '${getInputInString((_e = qrItem.answer) === null || _e === void 0 ? void 0 : _e[answerIndex])}' does not match the defined format.`;
+            if (structuredDataCapture.getEntryFormat(qItem)) {
+                detailsText += ` ${structuredDataCapture.getEntryFormat(qItem)}`;
+            }
+            return {
+                severity: 'error',
+                code: 'invalid',
+                expression: [locationExpression],
+                details: {
+                    coding: [
+                        {
+                            system: errorCodeSystem,
+                            code: error,
+                            display: 'Invalid format'
+                        }
+                    ],
+                    text: detailsText
+                },
+                diagnostics: (_f = getRegexString(qItem)) !== null && _f !== void 0 ? _f : undefined
+            };
+        }
+        case ValidationResult.minLength: {
+            detailsText = `${fieldDisplayText}: Expected the minimum value ${structuredDataCapture.getMinLength(qItem)} characters, received '${getInputInString((_g = qrItem.answer) === null || _g === void 0 ? void 0 : _g[answerIndex])}'`;
+            return {
+                severity: 'error',
+                code: 'business-rule',
+                expression: [locationExpression],
+                details: {
+                    coding: [
+                        {
+                            system: errorCodeSystem,
+                            code: error,
+                            display: 'Too short'
+                        }
+                    ],
+                    text: detailsText
+                }
+            };
+        }
+        case ValidationResult.maxLength: {
+            detailsText = `${fieldDisplayText}: Exceeded maximum of  ${qItem.maxLength} characters, received '${getInputInString((_h = qrItem.answer) === null || _h === void 0 ? void 0 : _h[answerIndex])}'`;
+            return {
+                severity: 'error',
+                code: 'business-rule',
+                expression: [locationExpression],
+                details: {
+                    coding: [
+                        {
+                            system: errorCodeSystem,
+                            code: error,
+                            display: 'Too long'
+                        }
+                    ],
+                    text: detailsText
+                }
+            };
+        }
+        case ValidationResult.maxDecimalPlaces: {
+            detailsText = `${fieldDisplayText}: Exceeded maximum decimal places ${structuredDataCapture.getMaxDecimalPlaces(qItem)}, received '${getInputInString((_j = qrItem.answer) === null || _j === void 0 ? void 0 : _j[answerIndex])}'`;
+            return {
+                severity: 'error',
+                code: 'business-rule',
+                expression: [locationExpression],
+                details: {
+                    coding: [
+                        {
+                            system: errorCodeSystem,
+                            code: error,
+                            display: 'Too precise'
+                        }
+                    ],
+                    text: detailsText
+                }
+            };
+        }
+        case ValidationResult.minValue: {
+            detailsText = `${fieldDisplayText}: Expected the minimum value ${getMinValue(qItem)}, received '${getInputInString((_k = qrItem.answer) === null || _k === void 0 ? void 0 : _k[answerIndex])}'`;
+            return {
+                severity: 'error',
+                code: 'business-rule',
+                expression: [locationExpression],
+                details: {
+                    coding: [
+                        {
+                            system: errorCodeSystem,
+                            code: error,
+                            display: 'Too small'
+                        }
+                    ],
+                    text: detailsText
+                }
+            };
+        }
+        case ValidationResult.maxValue: {
+            detailsText = `${fieldDisplayText}: Exceeded the maximum value ${getMaxValue(qItem)}, received '${getInputInString((_l = qrItem.answer) === null || _l === void 0 ? void 0 : _l[answerIndex])}'`;
+            return {
+                severity: 'error',
+                code: 'business-rule',
+                expression: [locationExpression],
+                details: {
+                    coding: [
+                        {
+                            system: errorCodeSystem,
+                            code: error,
+                            display: 'Too big'
+                        }
+                    ],
+                    text: detailsText
+                }
+            };
+        }
+        // mark unknown issues as fatal
+        default: {
+            return {
+                severity: 'error',
+                code: 'unknown',
+                expression: [locationExpression],
+                details: {
+                    coding: [
+                        {
+                            system: errorCodeSystem,
+                            code: 'unknown',
+                            display: 'Unknown'
+                        }
+                    ]
+                }
+            };
+        }
+    }
+}
+//# sourceMappingURL=validateQuestionnaire.js.map

package/lib/utils/validateQuestionnaire.js.map

@@ -0,0 +1 @@
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package/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@aehrc/smart-forms-renderer",
-  "version": "1.2.0",
+  "version": "1.2.2",
   "description": "FHIR Structured Data Captured (SDC) rendering engine for Smart Forms",
   "main": "lib/index.js",
   "scripts": {

package/src/components/FormComponents/OpenChoiceItems/OpenChoiceAutocompleteItem.tsx

@@ -114,6 +114,7 @@ function OpenChoiceAutocompleteItem(props: BaseItemProps) {
     newValue: Coding | string | null,
     reason: AutocompleteChangeReason | string
   ) {
+    // When the reason is selectOption this function gets called twice. One for the string value and one for the selected option. So we need to make sure we ignore the string value on selectOption
     // If the reason is reset, then don't change value. Otherwise you will end up with looped setState calls
     if (reason === 'reset') {
       return;
@@ -129,7 +130,7 @@ function OpenChoiceAutocompleteItem(props: BaseItemProps) {
       newValue = '';
     }
 
-    if (typeof newValue === 'string') {
+    if (typeof newValue === 'string' && reason === 'input') {
       if (newValue !== '') {
         // Check if the newValue is in the options, first check options.display, then check options.code
         const foundOption = options.find((option) => {
@@ -155,8 +156,8 @@ function OpenChoiceAutocompleteItem(props: BaseItemProps) {
         // For empty string, update immediately
         onQrItemChange(createEmptyQrItem(qItem, answerKey));
       }
-    } else {
-      // For coding selection, update immediately (no debounce)
+    } else if (typeof newValue === 'object' && reason === 'selectOption') {
+      // For coding selection, update immediately (no debounce) i.e reason should be selectOption
       onQrItemChange({
         ...createEmptyQrItem(qItem, answerKey),
         answer: [{ id: answerKey, valueCoding: newValue }]

package/src/components/FormComponents/SingleItem/SingleItem.tsx

@@ -76,7 +76,21 @@ function SingleItem(props: SingleItemProps) {
         parentIsRepeatGroup ? (parentRepeatGroupIndex ?? null) : null
       );
 
-      if (qrItem && qrItem.item && qrItem.item.length > 0) {
+      if (qItem && qrItem?.answer && qrItem.answer.length > 0) {
+        // Find the matching answer in qrItem by id
+        const matchingAnswer = qrItem.answer.find((ans) => ans.id === newQrItem.answer?.[0]?.id);
+
+        // Create updated newQrItem with the nested items from the matching answer
+        const updatedQrItem = {
+          ...newQrItem,
+          answer: newQrItem.answer?.map((ans) => ({
+            ...ans,
+            ...(matchingAnswer?.item && { item: matchingAnswer.item })
+          }))
+        };
+
+        onQrItemChange(updatedQrItem);
+      } else if (qrItem && qrItem.item && qrItem.item.length > 0) {
         onQrItemChange({ ...newQrItem, item: qrItem.item });
       } else {
         onQrItemChange(newQrItem);
@@ -94,7 +108,7 @@ function SingleItem(props: SingleItemProps) {
 
   const handleQrItemChangeWithNestedItems = useCallback(
     (newQrItem: QuestionnaireResponseItem) => {
-      const updatedQrItem = qrItem ? { ...qrItem, item: newQrItem.item } : newQrItem;
+      const updatedQrItem = qrItem ? { ...qrItem, answer: newQrItem.answer } : newQrItem;
       onQrItemChange(updatedQrItem);
     },
     [qrItem, onQrItemChange]