GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

Questionnaire-example-f201-lifelines.xml

Raw XML (canonical form)

Real-world lifelines questionnaire (fictively taken from the patient) (id = "f201")

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="f201"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <pre>Lifelines Questionnaire 1 part 1
  1. Do you have allergies?
  2. General Questions:
    2.a) What is your gender?
    2.b) What is your date of birth?
    2.c) What is your country of birth?
    2.d) What is your marital status?
    3. Intoxications:
      3.a) Do you smoke?
      3.b) Do you drink alcohol?</pre>
    </div>
  </text>
  <status value="published"/>
  <date value="2010"/>
  <concept>
    <system value="http://example.org/system/code/lifelines/nl"/>
    <code value="VL 1-1, 18-65_1.2.2"/>
    <display value="Lifelines Questionnaire 1 part 1"/>
  </concept>
  <subjectType value="Patient"/>
  <item>
    <linkId value="1"/>
    <text value="Do you have allergies?"/>
    <type value="boolean"/>
  </item>
  <item>
    <!--  Answers to general questions  -->
    <linkId value="2"/>
    <text value="General questions"/>
    <type value="group"/>
    <item>
      <linkId value="2.1"/>
      <text value="What is your gender?"/>
      <type value="string"/>
    </item>
    <item>
      <linkId value="2.2"/>
      <text value="What is your date of birth?"/>
      <type value="date"/>
    </item>
    <item>
      <linkId value="2.3"/>
      <text value="What is your country of birth?"/>
      <type value="string"/>
    </item>
    <item>
      <linkId value="2.4"/>
      <text value="What is your marital status?"/>
      <type value="string"/>
    </item>
  </item>
  <item>
    <linkId value="3"/>
    <!--  Answers to intoxications  -->
    <text value="Intoxications"/>
    <type value="group"/>
    <item>
      <linkId value="3.1"/>
      <text value="Do you smoke?"/>
      <type value="boolean"/>
    </item>
    <item>
      <linkId value="3.2"/>
      <text value="Do you drink alchohol?"/>
      <type value="boolean"/>
    </item>
  </item>
</Questionnaire>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.