diff --git a/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireItemDropDownViewHolderFactory.kt b/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireItemDropDownViewHolderFactory.kt
index 76ac577e7e..d876fe27b6 100644
--- a/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireItemDropDownViewHolderFactory.kt
+++ b/datacapture/src/main/java/com/google/android/fhir/datacapture/views/QuestionnaireItemDropDownViewHolderFactory.kt
@@ -75,6 +75,7 @@ internal object QuestionnaireItemDropDownViewHolderFactory :
                   .setValue(
                     questionnaireItemViewItem.questionnaireItem.answerOption[position].valueCoding
                   )
+              questionnaireItemViewItem.questionnaireResponseItemChangedCallback()
             }
           }
       }