This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). 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
General questionnaire example
{
"resourceType": "Questionnaire",
"id": "3141",
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"contained": [
{
"resourceType": "ValueSet",
"id": "yesno",
"name": "Example YesNo",
"description": "Captures simple yes-no",
"status": "active",
"define": {
"system": "http://example.org/system/code/yesno",
"caseSensitive": true,
"concept": [
{
"code": "1",
"display": "Yes"
},
{
"code": "2",
"display": "No"
}
]
}
}
],
"status": "draft",
"date": "2012-01",
"group": {
"title": "Cancer Quality Forum Questionnaire 2012",
"group": [
{
"concept": [
{
"system": "http://example.org/system/code/sections",
"code": "COMORBIDITY"
}
],
"question": [
{
"concept": [
{
"system": "http://example.org/system/code/questions",
"code": "COMORB"
}
],
"type": "choice",
"options": {
"reference": "#yesno"
},
"group": [
{
"concept": [
{
"system": "http://example.org/system/code/sections",
"code": "CARDIAL"
}
],
"question": [
{
"concept": [
{
"system": "http://example.org/system/code/questions",
"code": "COMORBCAR"
}
],
"type": "choice",
"options": {
"reference": "#yesno"
}
},
{
"concept": [
{
"system": "http://example.org/system/code/questions",
"code": "COMCAR00",
"display": "Angina Pectoris"
},
{
"system": "http://snomed.info/sct",
"code": "194828000",
"display": "Angina (disorder)"
}
],
"type": "choice",
"options": {
"reference": "#yesno"
}
},
{
"concept": [
{
"system": "http://snomed.info/sct",
"code": "22298006",
"display": "Myocardial infarction (disorder)"
}
],
"type": "choice",
"options": {
"reference": "#yesno"
}
}
]
},
{
"concept": [
{
"system": "http://example.org/system/code/sections",
"code": "VASCULAR"
}
]
}
]
}
]
},
{
"concept": [
{
"system": "http://example.org/system/code/sections",
"code": "HISTOPATHOLOGY"
}
],
"group": [
{
"concept": [
{
"system": "http://example.org/system/code/sections",
"code": "ABDOMINAL"
}
],
"question": [
{
"concept": [
{
"system": "http://example.org/system/code/questions",
"code": "STADPT",
"display": "pT category"
}
]
}
]
}
]
}
]
}
}
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.